BILLING - Laserfiche WebLink

Home Browse Search

SAN JOAQUIN COUNTY NVIRONMENTAL HEALTH DEPARTMEN 600 East Main Street, Stockton,CA 95202-3029 Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM Facility Name: Co S C C — Page of Facility Address: I City: Inspec on ate: l 6 S . L./Avc o Ln1 8 ) `fl/? �( EA#: PR#: Prog m Element: Tank/Container Information Complete for all sites with cumulative aboveground storage of petroleum >:1320 gallons in tanks and containers over 55 gallons. Complete one box for each tank or each cumulative container product type. ❑ Tank(2820) Containers (2821) #of Containers: /3' '/'-' TA#: 0 51 leo�l� (>250 gallons) (>55 gallons and<250 gallons) v/ Product Type: Total Capacity:p y: gallons q (per tank or cumulative for containers by product type) Install Date: ❑ Tank(2820) ontainers (282 1) #of Containers:.! Tr: (>250 gallons) (>55 gallons and<250 gallons) 2 Product Type: —a"'!�ee?l D/ Total Capacity: _gallons (per tank or cumulative fo _.....ors by product type) Install Date: 1D, f nk(2820) ❑ Containers (2821) #of Containers: TA#: (>250 gallons) (>55 gallons and<250 gallons) U 3 ��O v Product Type: Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: Tank(2820) ❑ Containers (2821) #of Containers: TA#: L-9671 (>250 gallons) (>55 gallons and<250 gallons) 4 f., C, Product Type: O&P Total Capacity: � - gallons (per tank or cumulative for containers by product type) Install Date: 2 Tank(2820) ❑ Containers (2821) #of Containers: TA#: RV`/ zpw';�3 (>250 gallons) (>55 gallons and<250 gallons) . 5 ? .` Product Type: c Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: \� Total Capacity this Page: 7 gallons Total Capacity for S L &i 7c; gallons Comments: 52�5 a4I (e �ZIrn 2L EHD Inspector: -Gig Reviewed ate: Entered 1/ ate By Initial: (�,�� By Init' ! EHD 28-01 0 1/t6/08