BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMEN 600 East Main Street, Stockton, CA 95202-30�, Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM Facility Name: PATE' Page of —L Facility Address- ' S�� j Gv• � AN r City:Inspection �. p t'� '-' � Date: ? -� o - o FA #: 13i PR #:Program 5-13 -Z Element: 2 3 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) ❑ Containers (2821) #of Containers: TA#: (>250 gallons) (>55 gallons and <250 gallons) 1 Product Type: i Total Capacity: c9 0 gallons Install Date: (per tank or cumulative for conLigers by product type) Tank (2820) ❑ Containers (2821) #of Containers: TA#: le q5l 2 (>250 gallons) (>55 gallons and <250 gallons) Product Type: 4 Total Capacity: 0 gallons Install Date: (per tank or cumulative for con ners by product type) ❑ Tank (2820) Containers (282 1) #of Containers: TA#: 3 (>250 gallons) (>55 gallons and <250 gallons) Total Capacity: 7x© Product Type: gallons Install Date: (per tank or cumulative for containers by product type) ❑ Tank (2820) eContainers (2821) #of Containers: Y TA#:�{� 1 7 4 (>250 gallons) (>55 gallons and <250 gallons) Product Type: &,6q -rT� Total Capacity: //130 gallons (per tank or cumulative for containers by product type) Install Date: ❑ Tank (2820) ontainers (2821) #of Containers: Z' TA#: 5 (>250 gallons) (>55 gallons and <250 gallons) Product Type:�i�PY� n � Total Capacity: 17 gallons (per tank or cumulative for containers by product type) Install Date: Total Capacity this P- e: 4 rl © gallons Total Capacity for Site: 3 j, gallons Comments: EHD Inspector: Reviewed Date: By Initial: Entered Date: By Initial: EHD 28-01 01/16/08