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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <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 />CORN PRODUCTS INTERNATIONAL, INC. <br />Page 2 o 2 <br />Facility Address: <br />1021 INDUSTRIAL DR <br />City: <br />STOCKTON <br />Inspection Date: <br />FA #: <br />9635?�� <br />PR #: <br />3 — <br />Program Element: <br />2831 <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 />#of Containers: �� TA#: z9,16 -I g 7 7 g <br />F-1 Tank (2820) X❑ Containers (2821) <br />� � O j <br />194 <br />1q_go Product Type: <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: <br />#of Containers: TA#: `1 <br />Tank &Containers <br />(2820) (2821) <br />2�- <br />2 �a Product Type. TURBINE OIL 56�GLj j,�{�o/YLQ> <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: <br />#of Containers: TA#: ,95o2g5�`I'a <br />❑ Tank (2820) ❑ Containers <br />3 <br />(2821) <br />Product Type: �l �S� lOC'OrY7 5-/7i/e) <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: <br />T (2 0) ❑ onta ners (28 #of C <br />1), o ain rs: TA#: <br />4 <br />duct <br />�' P T pe' <br />"allons <br />al acity <br />(per t or cumula v r containers by pro uct type) Install Date: <br />#of Containers: TA#: k��� <br />Tank (2820) F-1Containers(2821) <br />5Product <br />Type: <br />Total Capacity: C -D gallons <br />(per tank or cumulative for containers by product type) Install Date: <br />Total Capacity this Page: gallons <br />Total Capacity for Site: gallons <br />Comments: <br />EHD Inctor: Vt <br />Reviewed Date: <br />By Initial: �'`"t�.1Q <br />Entered Date: <br />By Initial: <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 06/03/10 AST SURVEY FORM <br />F <br />