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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 2of 2 <br /> Facility Address: City: Inspection Date: <br /> 6441 Holman Road Stockton Nov 20, 2013 <br /> FA#: PR#: Program Element: <br /> 10424 0 S Z g 111 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 /> #of Containers: TA#: 516884 <br /> ❑X Tank (2820) E] Containers (2821) <br /> 1 360 Product Type: ATF <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> X❑ Tank (2820) F-1 Containers (2821) <br /> #of Containers: TA#: 516885 <br /> 2Total Capacity: 120 J gallons Product Type: motor oil <br /> (per tank or cumulative for containers by product type) Install Date: <br /> /❑X Tank (2820) ❑ Containers (2821) <br /> #of Containers: TA#: 516886 � <br /> 3 85/ Product Type: gear oil -/Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> Tank (2820) ❑ Containers (2821) <br /> #of Containers: TA#: 516887 <br /> 4 / Product Type: used oil' <br /> Total Capacity: 1,500 gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑ Tank (2820) ❑ Containers (2821) #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: 2,065 gallons Total 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 Ins tor: / Reviewed Date: r Entered Date: <br /> By Initial: 2� 126> I� By Initial: J/0 / <br /> AbovegrdukTcvst&age tank 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 />