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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM Facility Name: Stockton East Water District Page 3of 3 Facility Address: City: Inspection Date: 6767 E. Main Stockton 4/3/2013 FA #: PR #: Program Element: 0004024 537644 2832 Tank/Container Information Complete for all sites with cumulative aboveground storage of petroleum >1,320 gallons in tanks` and containers**. Complete one box for each tank or each cumulative container product type. ❑X Tank (2820) ❑ Containers (2821) #of Containers: TA#: .-- 1Total 300 Product Type: diesel Capacity: gallons (per tank or cumulative for containers by product type) Install Date: ) F-1Tank (2820) ❑X Containers (2821) #of Containers: TA#: 2Total 150 Product Type: used oil Capacity: gallons (per tank or cumulative for containers by product type) Install ) ❑ Tank (2820) $Containers (2821) #of Containers: TA#: 3 Product Type: diesef- .cam Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: ) ❑ Tank (2820) ❑X Containers (2821) #of Containers: 4 TA#: SJR 2 4 220 Product Type: motor oil Total Capacity: gall ons (per tank or cumulative for containers by product type) Install Date: ❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: 5 Product Type: Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: Total Capacity this Page: (5, _j, -2f. gallons Total Capacity for Site: 18,9 f ®gallons Comments: Big rig on site has been abandoned EHD Ins tor: Reviewed ? Date: By Initial: / I �1 Entered Date: By Initial: 6C I ove r un torage tanS4,Kans a tank that has the capacity to store gallons or more of petroleum. Cu.. ne means a storage device designed to be moved when full. EHD 28-01 REV 04/19/12 AST SURVEY FORM