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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 2of 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 21,320 gallons in tanks`and containers". <br /> Complete one box for each tank or each cumulative container product type. <br /> X❑ ) ❑ Containers (2821)Tank 2820 #of Containers: TA#: 0516307 <br /> Tank ( <br /> 2820) <br /> Total Capacity: 275 gallons Product Type: Gear oil <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑ Tank(2820) ❑X Containers (2821) #of Containers: 1 TA#: �Tj <br /> 2 Total Capacity: 55 gallons Product Type: Solvent <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑ Tank (2820) ❑X Containers (2821) #of Containers: 3 TA#: 49ca ,571 <br /> 3 Total ty: gallons <br /> Capacity: 165 Product Type: Gear oil <br /> p <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑ Tank(2820) ❑ Containers (2821) #of Containers: TA# <br /> 4 Product Type: <br /> Total Capacity: 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: 495 gallons Total Capacity for Site: 12,945 gallons <br /> Comments: <br /> #1 Changed from containers to tank. Changed from 250 gallons to 275 gallons. <br /> Added #2 & #3. <br /> EHD Inspector: Reviewed Date: Entered Datery: <br /> By Initial: By Initial: 1 as <br /> "Ab vegr Rd storage tank me a tank that has the capacity to store 55 gallons or more of petroleum. <br /> ""Co ner means a storage device designed to be moved when full. <br /> ER02M1 REV04/19/12 AST SURVEY FORM <br />