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SAN JOAQUIN COUNTY ..� ENVIRONMENTAL HEALTH DEPARTMENT 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: Antonini Enterprises Page 2 of '2— Facility Facility Address: City: Inspection Date: 287 N. Cardinal, Stockton Jul 22, 2011 FA#: PR#: Program Element: 10188 2832 Tank/Container Information Complete for all sites with cumulative aboveground storage of petroleum>_1,320 gallons in tanks' and containers". Complete one box for each tank or each cumulative container product type. Q Tank (2820) ❑ Containers (28Z1 TA#: �1�y�—#of Containers: 1 vf^ XI 'Broduct Type.diesel Total Capacity: �d I gall tt'Irl t! (per tank or cumulative for containers by produc type) '1. Install Date: X Tank (2820) F] Containers (2821) #of Containers: TA#: So2Qa�' 2Product Type: 87 octane gasoline Total Capacity: 300 gallons (per tank or cumulative for containers by product type) Install Date: empty tank mobile trailer ❑ Tank (2820) ❑X Containers (2821) #of Containers: 4 TA#: 3Total Capacity: 220 gallons Product Type: petro products (per tank or cumulative for containers by product type) Install Date: unk ❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: 4 Product Type: Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: ❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: 5 Product Type: Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: Total Capacity this Page: 575 gallons Total Capacity for Site: 11,675 gallons Comments. EHD In ector: Reviewed Date: Entered Date: By Initial: .� I By Initial: (AbovetrJunotorage Tank means a tank that has the capacity to store 55 gallons or more of petroleum. "'Containe eans a storage de a designed to be moved when full. EHD 28-01 REV 06103110 AST SURVEY FORM