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0 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 /> General Mills Page 1 of 2 <br /> Facility Address: City: Inspection Date: <br /> 2000 W. Turner Rd. Lodi, CA 95242 Lodi Jun 29, 2011 <br /> FAY: PR#: Program Element: <br /> 3881 p 5-34 411 `] 3 i <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) #of Containers: TA#: B <br /> 1Total Capacity: 1, gallons <br /> 000 Product Type: diesel <br /> (per tank or cumulative for containers by product type) Install Date: unknown <br /> ❑X Tank (2820) ❑ Containers (2821) #of Containers: TA#: D tiafJ 349,6- <br /> 2 Total Capacity: gallons 160 Product Type: diesel <br /> (per tank or cumulafis for containers by product type) Install Date: unknown <br /> ❑- Tank (2820) ❑ Containers (2821) #of Containers: TA#: Doh-U,319(e <br /> 3 Total Capacity: gallons 65 Product Type: diesel <br /> (per tank or rnulafiae for containers by product type) Install Date: unknown <br /> #of Containers: 14 TA#: 0tSot0c3y� <br /> E] Tank (2820) X❑ Containers (2821) - <br /> 4 800 Product Type: oil <br /> Total Capacity: gallons <br /> (per tank or mmulative for containers by product type) Install Date: unknown <br /> X❑ Tank(2820) ❑ Containers (2821) #of Containers: TA#: B5a0JDg <br /> 5 1% Product Type � 41 <br /> Total Capacity: gallons <br /> (per tank or emulative for containers by product type) Install Date: unknown <br /> Total Capacity this Page: ..2,14 ailons Total Capacity for Site: ,.�llons <br /> Comments: ^ '�� 2 •3� <br /> I �Q <br /> EHD Inspector: Reviewed Date: Entered Date: <br /> By Initial: By Initial: f <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 />