BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMEN`& 00 East Main Street, Stockton,CA 95202-30 Telephone:(209)468-3420 Fax.(209)468-3433 Web:www.sigov.org/chd ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM Facility Name: 5-FAX B& S 'CO rJ WV/ pp Page of Facility Address: Cty. OGKEFo/i� Inspect fon/Dc ate: FAM O PRM Program/Element: Sir �; z� Tank/Container Information Complete for all sites with cumulative aboveground storage of petroleum 21320 gallons in tanks and containers over 55 gallons. Comulete one box for each tank or each cumulative container product type. ❑ Tank(2820) Containers (2821) #of Containers: TA#: (>250 gallons) (>55 gallons an t150 s) 1 Product Type: r� Total Capacity: gallons 1� (per tank or cumulative f containers by product type) Install Date: ?� ❑ Tank(2820) O Containers (08�1) #of Containers: TAM — 6 (>250 gallons) (>55 galloon allcns) 2 aoQ � Product Type: lit/ f� Total Capacity: gallons (per tank or cumulative for __ � ntainers by product type) Install Date: ❑ Tank(2820) IF Containers (2821) #of Containers: TAM (>250 gallons) (>55 gall ovs d<50 gallons) _ 3 Product Type: /L Total Capacity: gallons Install Dat . er tank or cumulative f onta��ners byproduct type) (2820) ft�Containers (2821) #of Containers: TAM 0,516S 7� (>250 gallons) (>55 gallons d Q50 gallons) 4 Product Type: Total Capacity: gallons Install (per tank or cumulative for cents ersby product type) EY Tank(2820) ❑ Containers (2821) #of Containers: TA#: (>250 gallons) (>55 gallons an lions) 5 Product Type: Total Capacity: gallons (per tank or cumulati or containers by product type) Install Date: Total Capacity this Page: 16 )6gallons Total Capacity for Site: �,� gallons Comments: f EHD Inspector. r Reviewed Date! ,�a( Entered Date : 1..� t By Initial: 1 (�-�"'a By Initial: EHD 28-01 At 2 23 -14 � �•q.11 lX l 01/16/08