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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <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 /> TK Services, Inc. Page 2o 2 <br /> Facility Address: City: Inspection Date: <br /> 1950 E. Miner, Stockton Stockton Sep 13, 2010 <br /> FA#: PR#: Program Element: <br /> 0006136 516433 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 /> ❑ Tank (2820) FX-1 Containers (2821) #of Containers: 1 TA#: <br /> 1 gallons <br /> Total Capacity: 55 Product Type: hydraulic oil <br /> (per tank or cumulative for containers by product type) unknown <br /> Install Date: <br /> F-1 Tank (2820) FX] Containers (2821) #of Containers: 2 TA#: <br /> 2Total Capacity: gallons 110 Product Type: empty HW/HM <br /> (per tank or cumulative for containers by product type) <br /> Install Date: <br /> ❑ Tank (2820) F] Containers (2821) <br /> #of Containers: TA#: <br /> 3 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 /> 4 Product Type: <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) <br /> 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: 165 gallons Total Capacity for Site: 2,275 gallons <br /> Comments: <br /> EHD Inspector: Reviewed Date: Entered Date: <br /> By Initial: By Initial: <br /> *Aboveground storage 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 06/03/10 AST SURVEY FORM <br />