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0 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd <br /> ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM <br /> Facility Name: <br /> Covey Auto Express Page of 3 <br /> Facility Address: City: Inspection Date: <br /> 1444 EI Pinal Drive Stockton Dec 6, 2013 <br /> FA#: 777PR M Program Element: <br /> 16178 535126 2832 <br /> Tank/Container Information <br /> Complete for all sites with cumulative aboveground storage of petroleum 2_1,320 gallons in tanks*and containers**. <br /> Complete one box for each tank or each cumulative container product type. <br /> ❑X Tank (2820) ❑ Containers (2821) #of Containers: TA#: 519672 <br /> 1 Total Capacity: gallons 5,000 Product Type: diesel <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑X Tank (2820) F1 Containers (2821) <br /> #of Containers: TA#: 519673 <br /> 2 Total Capacity: gallons <br /> 5,000 Product Type: diesel <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑X Tank (2820) El Containers (2821) <br /> #of Containers: TAM 519674 <br /> 3 500 Product Type: 87 octane gasoline <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑X Tank(2820) El Containers (2821) <br /> #of Containers: TA#: 519675 <br /> 4 Total Capacity: gall <br /> 480 Product Type: used oil <br /> ons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑X Tank(2820) ❑ Containers (2821) #of Containers: TA#: 519676 <br /> 5 Total Capacity: gall <br /> 275 Product Type: used oil <br /> ons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> Total Capacity this Page: 11,255 gallons Total Capacity for Site: 2,o c7cT gallons <br /> Comments: <br /> EHD Inspecto Reviewed Date: 6\\ Entered Dale: <br /> By Initial: j k By Initial: / 25 <br /> * round stor ge tank means a tank that has the capacity to store 55 gallons or more of petroleum. <br /> ntainer means a storage device designed to be moved when full. <br /> EHD 20-01 REV 04/19/12 AST SURVEY FORM <br />