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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 /> Chase Chevrolet Page 1 of 2 <br /> Facility Address: City: Inspection Date: <br /> 6441 Holman Road Stockton Nov 20, 2013 <br /> 10424 PR# Program EI Q '� (�' 2 2 2 2831 <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 /> J ❑X Tank (2820) ❑ Containers (2821) #of Containers: TA#: 516879 ' <br /> 1 Total Capacity: 350 v gallons Product Type: used oil <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑X Tank (2820) F] Containers (2821) <br /> #of Containers: TA#: 516880 / <br /> 2 500 J 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) ❑ Containers (2821) <br /> #of Containers: TA#: 516881 <br /> 3 � Product Type: motor oil,/ <br /> Total Capacity: 500 gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ' ❑X Tank (2820) ❑ Containers (2821) <br /> #of Containers: TA#. 516882 <br /> 4J Product Type: motor oil <br /> Total Capacity: 500 gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> -d❑X Tank (2820) ❑ Containers (2821) #of Containers: TA#: 516883f <br /> 5 � Product Type: motor oil <br /> Total Capacity: 1,000 gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> Total Capacity this Page: 2,850 gallons FTotal Capacity for Site: 4,915 gallons <br /> Comments: <br /> Tanks 516879 and 516880 are existing ASTs. <br /> All other tanks are being moved from the UST program to the AST program. <br /> Tanks 519671, 519803, and 519804 remain in the 2332 UST program. <br /> EHD In or: Reviewed n Date: Entered DateOz <br /> �� By Initial: ``Jl� BY Initial: Bovegro ndstorage ank means a tank that has the capacity to store 55 gallons or more of petroleum. . <br /> **Container means a storage device designed to be moved when full. <br /> EHD 28-01 REV 04/19/12 AST SURVEY FORM <br />