Laserfiche WebLink
SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <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 />Greg Pombo <br />Page 1 of <br />Facility Address: <br />City: <br />Inspection Date: <br />6645 Delta Ave <br />Tracy <br />Feb 19, 2013 <br />FA #: <br />PR #: <br />Program Element: <br />X1[01 <br />2 <br />Tank/Container Information <br />Complete for all sites with cumulative aboveground <br />storage of petroleum >_1,320 gallons in tanks' and containers". <br />Complete one box for each tank <br />or each cumulative container product type. <br />ZTank (2820) <br />F-1Containers(2821) <br />#of Containers: TA#: Fah a, <br />1Total <br />10,000 <br />Product Type: diesel <br />Capacity: <br />gallons <br />(per tank or cumulative for containers by product type) <br />Install Date: unknown <br />X] Tank (2820) <br />F-1Containers (2821) <br />#of Containers: TA#: <br />21 <br />000 <br />Product Type: 87 octane gasoline <br />Total Capacity: <br />� gallons <br />(per tank or cumulative for containers by product type) <br />Install Date: unknown <br />#of Containers: 2 TA#: 42,5a`5'!5 <br />❑ Tank (2820) <br />❑X Containers (2821) <br />3 <br />150 <br />Product Type: oil <br />Total Capacity: <br />gallons <br />(per tank or cumulative for containers by product type) <br />Install Date: unknown <br />❑- Tank (2820) <br />❑ Containers (2821) <br />#of Containers: TA#: <br />4 <br />600 <br />Product Type: used oil <br />Total Capacity: <br />gall ons <br />(per tank or cumulative for containers by product type) <br />Install Date: unknown <br />❑ Tank (2820) <br />❑ Containers (2821) <br />#of Containers: TA#: <br />5 <br />Product Type: <br />Total Capacity: <br />gallons <br />(per tank or cumulative for <br />containers by product type) <br />Install Date: <br />Total Capacity this Page: <br />11,750 <br />gallons <br />Total Capacity for Site: 11,750 gallons <br />Comments: <br />Greg Pombo called and provided his AST inventory over the phone. <br />EHD Inspector:r <br />iewed Date: <br />By Initial: �1 .��, �� <br />Entered Date: <br />By Initial: ;Ie, --3 <br />'Aboveground storage tank means a tank that has the capacity to store 55 gallons or more of petroleum. ! I <br />"Container means a storage device designed to be moved when full. <br />EHD 28-01 REV 04/19/12 AST SURVEY FORM <br />