BILLING - Laserfiche WebLink

Home Browse Search

SAN JOAQUIIN 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: FTVA CA��V � Page 5-of Facility Address: I C y. Inspection Date: f - - FA#: PR#: Program Element: S "I 1 « Tank/Container Information Complete for all sites with cumulative aboveground storage of petroleum z 1,320 gallons in tanks*and containers**. Complete one box for each tank or each cumulative container product type. Tank(2820) ❑ Containers (2821) #of Containers: TAM 1 Product Type: Ell Total Capacity: gallons (per tank or cumulative for ontainers by product type) Install Date: onj n) Tank(2820) ❑ Containers (2821) #of Containers: TAM O52P Total Capacity: M gallons Product Type: :a:r (per tank or cumulative for lontainers by product type) Install Date: L)N CY�4v Tank(2820) ❑ Containers (2.821) #of Containers: TA#: /rA5 9-R ' Total Capacity: (+-M gallons Product Type: " i o (per tank or cumulative for containers by product type) Install Date: VN lenraJn� Tank(2820) ❑ Containers(2821) #of Containers: TA#: 6-o?19 4 CM Product Type: t\.q P Total Capacity: � gallons �w-, (per tank or cumulative for containers by product type) Install Date: UIJi�I�ONS) Tank(2820) ❑ Containers(2821) #of Containers: TA#: &6-9,j 5 Total Capacity: � gallons Product Type: S (per tank or cumulative for containers by product type) Install Date: Total Capacity this Page: 1+ gallons Total Capacity for Site: q S-6 gallons Comments: n� EHD Inspector: (�'�`�`^ Reviewed Date: .� Entered te: G6By Initial: U 3 ?.� 1 By Initial: *Aboveground storage tank means a tank that has the capacity to store 55 gallons or more of petroleum. **Container means a storage device designed to be moved when full. EHD 28-01 09/12/08