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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 15of (�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. 2820 #of Containers: TA#: �96ablc�7 X❑ Tank) ❑Containers (2821) ( 1Total 1, 100 Product Type: Production Fluids Capacity: gallons (per tank or cumulative for containers by product type) Install Date: 0 Tank (2820) ❑ Containers (2821) #of Containers: TA#: &5jazn!�00 2 Product Type: Production Fluids Total Capacity: 1,100 gallons (per tank or cumulative for containers by product type) Install Date: #of Containers: TA#: X❑ Tank (2820) ❑ Containers (2821) 3 400 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#: 116, Sl'� 4 500 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#: 5500 Product Type: Production Fluids Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: Total Capacity this Page: 3,600 gallons Total Capacity for Site: gallons Comments: EHD Inspec r: / i-' Reviewed Date: By Initial: U)(L ?j ( ,� Entered Date By Initial: I L0 *Abb.v round'stora6e 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