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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd <br />ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM <br />Facility Name: <br />PG&E McDonald Island <br />Page 11 of <br />Facility Address: <br />City: <br />Inspection Date: <br />2121 N Zuckerman Road <br />Stockton <br />Jul 15, 2013 <br />FA M <br />PR M <br />Program Element: <br />7096 <br />530292 <br />2833 <br />Tank/Container Information <br />Complete for all sites with cumulative aboveground storage of petroleum ?1,320 gallons in tanks" and containers". <br />Complete one box for each tank or each cumulative container product type. <br />NX Tank (2820) ( ) #of Containers: TA#: a!i20112- `7 <br />❑ Containers 2821 <br />1 <br />Product Type: Production Fluids <br />Total Capacity: gallons 60 <br />(per tank or cumulative for containers by product type) Install Date: <br />R-1Tank (2820) ❑Containers (2821) #of Containers: TA#: ��o'ZDle a� <br />2 <br />Product Type: Production Fluids <br />60 <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: <br />#of Containers: TA#: <br />❑X Tank (2820) F-1 Containers (2821) <br />3 <br />Product Type: Production Fluids <br />60 <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: <br />❑X Tank (2820) ❑ Containers (2821) #of Containers: TA#: B,rjap /6, <br />4 <br />Product Type: Production Fluids <br />60 <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: <br />❑X Tank (2820) ❑ Containers (2821) #of Containers: TA#: &5,W !e3 11 <br />5400 <br />Product Type: Production Fluids <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: <br />Total Capacity this Page: 640 gallons <br />Total Capacity for Site: gallons <br />Comments: <br />eq <br />EHD Inspector: X <br />Reviewed Date <br />Initial: <br />C <br />Entered <br />DateBy <br />By Initial: <br />LL <br />'`Aboveground storage tank means a tank that has the capacity to store 55 gallons or more of petroleum. <br />"Container means a storage device designed to be moved when full. <br />EHD 28-01 REV 04/19/12 AST SURVEY FORM <br />