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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 16 of i __� 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. #of Containers: TA#: A6 e �5A Tank 2820 ❑X ) ❑Containers (2821) ( 1 500 Product Type: Production Fluids Total Capacity: gall ons (per tank or cumulative for containers by product type) Install Date: X❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: f%uO Np6!3 2500 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#: e 57 3 500 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#: 4 500 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#: �9o 06LaKe 5500 Product Type: Production Fluids Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: Total Capacity this Page: 2,500 gallons Total Capacity for Site: gallons Comments: EHD Ins o : �� Reviewed Rot Date:^ 1 By Initial: 1`J 1— / )l Entered By Initial:ko Date: g� o>leground storage tank means a tank that has the capacity to store 55 gallons or more of petroleum. *" ontainer means a storage device designed to be moved when full. EHD 28-01 REV 04/19/12 AST SURVEY FORM