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1� 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.sigov.org/ehd <br /> ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM <br /> Facility Name: <br /> Covey Auto Express Page -3 of <br /> Facility Address: City: Inspection Date: <br /> 1444 EI Pinal Drive Stockton Dec 6, 2013 <br /> FA#: PR#: Program Element: <br /> 16178 535126 2832 <br /> Tank/Container Information <br /> Complete for all sites with cumulative aboveground storage of petroleum >_1,320 gallons in tanks*and containers**. <br /> Complete one box for each tank or each cumulative container product type. <br /> ❑ Tank (2820) ❑X Containers (2821) #of Containers: 1 TA#: A5oZ074 9 <br /> 1 Total Capacity: 55 gallons Product Type: gear oil <br /> (pertank or cumulative for containers by product type) Install Date: <br /> 0 Tank(2820) 0 Containers (2821) #of Containers: 2 TA#: DSD 7i5�� <br /> 2 110 Product Type: transmission fluid <br /> Total Capacity: gallons <br /> (pertank or cumulative for containers by product type) Install Date: <br /> ❑X Tank (2820) ❑ Containers (2821) #of Containers: TA#: <br /> 3 Product Type: <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑X Tank(2820) ❑ Containers (2821) #of Containers: TA#: <br /> 4 Product Type: <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> Tank(2820) ❑ Containers (2821) <br /> #of Containers: TA#: <br /> 5 Product Type: <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> Total Capacity this Page: 165 gallons Total Capacity for Site: 2o C15 gallons <br /> Comments. <br /> EHD Ins p r Reviewed �r Date Entered I1� Enteredl: Date: <br /> By Initial: .VAS/'• U I <br /> Yontalminer <br /> und st rage tank means a tank that has the capacity to store 55 gallons or more of petroleum. <br /> means a storage device designed to be moved when full. <br /> EHD 04/19/12 AST SURVEY FORM <br />