Laserfiche WebLink
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 /> Mid Valley Agricultural Services Page 2of 2 <br /> Facility Address: City: Inspection Date: <br /> 16401 E. Hwy 26, Linden Linden Jan 8, 2013 <br /> FA#: T PR#: Program Element: <br /> 9357 1528828 .2-a� Z�3 <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) ❑ Containers (2821) <br /> #of Containers: TA#: 96-o?,o �,000 / <br /> 1 13Product Type: Petro Dormant Emulsion <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> X❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: P6-a,96-11,q <br /> —11oZ <br /> 2 Total Capacity: gallons llons Product Type: Superior Oil <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑X Tank (2820) ❑ Containers (2821) #of Containers: TA#: OS R,9,6-Al 3 <br /> 3 Product Type: Superior Oil <br /> Total Capacity: 6,500 gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑ <br /> #of Containers: TA#: <br /> Tank (2820) RX (2821) Dy 0205 <br /> 4 55 Product Type: Tractor Fluid <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑ Tank (2820) ❑X Containers (2821) #of Containers: TA#: 5 b <br /> 5 Product Type: Transmission Oil <br /> Total Capacity: 55 gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> Total Capacity this Page: 36,110 gallons Total Capacity for Site: 56,760 gallons <br /> Comments: <br /> Updating AST inventory based on inspection and what's listed on SPCC Plan <br /> LEHD pect Reviewed Date: Entered Date: <br /> Uj 6-�I, 1 By Initial: QA I S 1 By Initial: <br /> Abo gr storage tank rr s k that has the capacity to s re 5t gallons or more of petroleum. <br /> *Container means a storage t# <br /> designed to be moved when full. <br /> EHD 28-01 REV 04/19/12 AST SURVEY FORM <br />