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w SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, CA 95202-3029 Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM Facility Name: Saturn of Stockton Page 1 of 1 Facility Address: City: Inspection Date: 2991 Auto Center Circle Stockton Oct 28, 2009 FA#: PR#: Program Element: 10264 528219 2840 Tank/Container Information Complete for all sites with cumulative aboveground storage of petroleum 21,320 gallons in tanks`and containers"". Complete one box for each tank or each cumulative container product type. X❑ Tank (2820) F1 Containers (2821) #of Containers: TA#: 516870 11,000 Product Type: 87 octane gasoline Total Capacity: gallons (pe(tank or cumulative for containers by product type) Install Date: ® Tank(2820) F-1 Containers (2821) #of Containers: TA#: 516869 2 300 Product Type: used oil Total Capacity: gallons (per lank or cumulative for containers by product type) Install Date: ❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: 3 Product Type: Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: ❑ Tank(2820) ❑ Containers (2821) #of Containers: TA#: 4 Product Type: Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: ❑ Tank(2820) ❑ Containers (2821) #of Containers: TA#: 5 Product Type: Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: Total Capacity this Page: 1,300 gallons Total Capacity for Site: 1,300 gallons Comments: TAs 0516866, 0516867, and 05116868 are no longer at 1Ft a fee ttrr EHD Ior. Reviewed Date: Entered Dale: / By In 2,,J(�- �l By Initial: / oveground storage tank n4earfs a tank that has the capacity to store 55 gallons or more of petroleum. ' "Container means a storage device designed to be moved when full. EHD 29-01 REV 06/03/10 AST SURVEY FORM