BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTME0 600 East Main Street,Stockton,CA 95202-30 Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM Facility Name: G C C7 �it/� 0 .5' Page of Facility Address: c* laspection))ate/ ly 6 U f/?l,N cel cp s' FA#: PR#: Prrogram Ele ent: oa l $ 2-Z o-0 bpi Tank/Container Information Complete for all sites with cumulative aboveground storage of petroleum 21320 gallons in tanks and containers over 55 gallons. Complete one box for each tank or each cumulative container product type. 30FTank (2820) ❑ Containers (2821) #of Containers: TA#: (>250 gallons) (>55 gallons and<250 gallons) 1 Product Type: Total Capacity: /0 & 0 gallons (per tank or cumulative for containers by product type) Install Date: I!d'"Tank(2820) ❑ Containers (2821) #of Containers: TA#: Db !Ce l g3 (>250 gallons) (>55 gallons and<250 gallons) 2 Product Type: Total Capacity: /000 gallons Install Date: (per tank or cumulative for containers by product type) D`Tank(2820) ❑ Containers (2821) #of Containers: TA#: & — (>250 gallons) (>55 gallons and<250 gallons) 3 Product Type: $9 Total Capacity: 7 y O gallons (per 9' TAN (per tank or cumulative for containers by product type) Install Date: S r Tank 2820 ❑ Containers 2821 ( ) ( ) #of Containers: TA#: (>250 gallons) (>55 gallons and<250 gallons) n „� 4 Product Type: / L, -� S Total Capacity: '3 a O gallons Install Date: (per tank or cumulative for containers by product type) ❑ Tank(2820) ❑ Containers (2821) #of Containers: TA#: (>250 gallons) (>55 gallons and<250 gallons) 5 Product Type: Total Capacity: gallons Install Date: (per tank or cumulative for containers by product type) Total Capacity this Page: 3000 gallons Total Capacity for Site: 300d gallons Comments: EHD Inspector: -FE—.ted✓ Reviewed [e: reDate: By Initial: S aX By Initial: lee EHD 28-01 ll�� UUU 01/16/08