BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

SAN JOAQUIN COUNTY ENVIRONMENTAL 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: CWk 2 Drbl we s� o� Page of Facility Address: City. Inspectn Date: 70o IS[ 'V�-b& 2 /6 � FA#: � � � PR#O� � � � Prog m Elem t: �l 29 ?Sj 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) El Containers (2821) #of Containers: TA#: 10 (>250 gallons) (>55 gallons and<250 gallons) 1 Product Type: roe 4,661, Total Capacity: lot L11L gallons (per tank or cumulative for containers by product type) Install Date: Tank(2820) ❑ Containers (2821) #of Containers: TA#: (>250 gallons) (>55 gallons and<250 gallons) � g / 2 Product Type: r)%2se Total Capacity: gallons (per tank or cumulative for contliners by product type) Install Date: l Tank(2820) ❑ Containers (2821) #of Containers: TA#: 2 O 7jb � (>250 gallons) (>55 gallons and<250 gallons) 3 Product Type: keMY✓� (�A�cl�j y�-Z, Total Capacity: L4 I I 1 '11& gallons (per tank or cumulative for'Contalners by product type) Install Date: Tank (2820) ❑ Containers (2821) #of Containers: TA#: 2 ell (>250 gallons) (>55 gallons and<250 gallons) 4 Product Type: Total Capacity: I Z gallons (per tank or cumulative for containers by product type) Install Date: X Tank (2820) ❑ Containers (2821) #of Containers: TA#: ?O ap6��$l (>250 gallons) (>55 gallons and<250 gallons) 5 Product Type: b / e,SPi t Total Capacity: � 491 Zgallons (per tank or cumulative for contAners by product type) Install Date: Total Capacity this Page: 21 1 2 gallons Total Capacity for Site: 2 6 d 2,6 gallons Comments: EHD ector: Reviewed Date: Entered Date:( / It By Initial: ' By Initial: ✓/ EHD 28-01 l 01/16/08