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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM Facility Name: PG&E McDonald Island Page 8 o Facility Address: City: Inspection Date: 2121 N Zuckerman Road Stockton Jul 15, 2013 FA M PR #: Program Element: 7096 530292 2833 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. ❑X Tank (2820) ❑Containers (2821) #of Containers: TA#: Bc�o2�� (02 1 Product Type: Lube Oil 750 Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: -1 Tank (2820) ❑ Containers (2821) #of Containers: TA#: 04e l3 2 75 Product Type: Production Fluids Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: Tank (2820) ❑ Containers (2821) #of Containers: TA#: 3 75 Product Type: Production Fluids Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: ® Tank (2820) ❑ Containers (2821) #of Containers: TA#: BAaP Cele 4 75 Product Type: Production Fluids Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: 0 Tank (2820) ❑ Containers (2821) #of Containers: TA#: CQ5-a 1 e 5 Product Type: Production Fluids 75 Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: Total Capacity this Page: 1,050 gallons Total Capacity for Site: gallons Comments: EHD Inspecto 7 Reviewed n ,f� Date: By Initial: 1 7 13 Entered Date: By Initial: �`rJ CA)26v6g6ound"sfol'age 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 REV 04/19/12 AST SURVEY FORM