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r 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 17 of 17 Facility Address: City: Inspection Date: 2121 N Zuckerman Road I Stockton Jul 15, 2013 FA #: PR #: Program Element: 7096 1530292 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#: 4'-" 6 7 X❑ Tank (2820) ❑ Containers (2821) 1 500 Product Type: Production Fluids Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: #of Containers: TA#: ❑ Tank (2820) F-1 Containers (2821) 2 Product Type: Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: ❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: 3 Product Type: Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: ❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: 4 Product Type: Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: ❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: 5 Product Type: Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: Total Capacity this Page: 500 gallons Total Capacity for Site: gallons Comments: EHD Insp>e o : > i Reviewed Dat 1' By Initial: V J Entered Date: By Initial: 13 G*Aboveground storage tan 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