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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 /> Maxim Crane Works Page 1 of 2 <br /> Facility Address: City: Inspection Date: <br /> 2373 Mariposa Rd. Stockton Sep 6, 2012 <br /> FA M PR#: Program Element: <br /> 0009394 0523161 2832 <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 /> ❑X Tank (2820) E] Containers (2821) <br /> #of Containers: TA#: 0516302 <br /> 1 10,000 Product Type: Diesel <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑X Tank (2820) F] Containers (2821) <br /> #of Containers: TA#: 0516303 <br /> 2 Total Capacity: gallons <br /> 1,000 Product Type: Used oil <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑X Tank(2820) E] Containers (2821) <br /> #of Containers: TA#: 0516304 <br /> 3 Total Capacity: gall <br /> 575 Product Type: Motor oil <br /> ons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑X Tank (2820) ❑ Containers (2821) <br /> #of Containers: TA#: 0513605 <br /> 4 600 Product Type: Hydraulic oil <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑X Tank (2820) E] Containers (2821) <br /> #of Containers: TA#: 0513606 <br /> 5 275 Product Type: Transmission oil <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> Total Capacity this Page: 12,450 gallons Total Capacity for Site: 12,945 gallons <br /> Comments: <br /> "Capacities changed based on the inventory in the SPCC Plan on site. <br /> #3 Changed from 500 gallons to 575 gallons. <br /> #4 Changed from 590 gallons to 600 gallons. <br /> #5 Changed from containers to tank. Changed from 250 gallons to 275 gallons. <br /> EHD Inspector: Reviewed f Date: _ / Entered Date: <br /> By Initial: ,,A el�kcl.i By Initial: I? <br /> 'Above ou storage tank mean nk 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 284)1 REV 04/19/12 AST SURVEY FORM <br />