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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 Sof F7 Facility Address: City: InspectionDate: 2121 N Zuckerman Road Stockton Jul 15, 2013 FA M PR M 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#: 1,2 (�7 1Total 6,500 Product Type: Production Fluids Capacity: gallons (per tank or cumulative for containers by product type) Install Date: ❑X Tank (2820) ❑ Containers (2821) #of Containers: TA#: 2Total 26,700 Product Type: Pipeline Liquids Capacity: gall ons (per tank or cumulative for containers by product type) Install Date: ❑X Tank (2820) ❑ Containers (2821) #of Containers: TA#: 3 Product Type: Production Fluids 12,000 Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: #of Containers: TA#: Q�oi�rj q� ❑X Tank (2820) ❑ Containers (2821) 4 Product Type: Production Fluids 12,000 Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: X❑ Tank 2820 #of Containers: TA#: ( ) ❑ Containers (2821) 526,700 Product Type: Production Fluids Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: Total Capacity this Page: 83,900 gallons Total Capacity for Site: gallons Comments: EHD In ctor: Reviewed Date: By Initial: -7111 Fif Entered Dat By Initial: / 3 'L)p L - Aboveground 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