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SAN aJOAQUIN 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 10of --7 Facility Address: City: Inspection Date: 2121 N Zuckerman Road Stockton Jul 15, 2013 FA #: 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#: 1 1, 200 Product Type: Oil + Odorant Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: #of Containers: TA#: ❑X Tank (2820) ❑ Containers (2821) 2375 Product Type: Hydraulic Oil Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: #of Containers: TA#: ❑X Tank (2820) ❑ Containers (2821) 3 170 Product Type: Hydraulic Oil Total Capacity: gall ons (per tank or cumulative for containers by product type) Install Date: ❑X Tank (2820) ❑ Containers (2821) #of Containers: TA#: 4 150 Product Type: Production Fluids Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: ❑X Tank (2820) ❑ Containers (2821) #of Containers: TA#: i9&aP12 a21Q 5150 Product Type: Production Fluids Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: Total Capacity this Page: 2,045 gallons Total Capacity for Site: gallons Comments: THD Inspector. ; Reviewed Date: n By Initial: �� J I '3 Entered Date: By Initial: 3 *Albveground 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 REV 04/19/12 AST SURVEY FORM