BILLING - Laserfiche WebLink

Home Browse Search

SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, CA 95202-3029 Telephone:(209) 468-3420 Fax: (209)468-3433 Web:www.sjgov.org/ehd ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM Facility Name: a� 0,115 (1 TeVV 5'• Uc, Page of Facility Address: City: Inspectio hoc S- 05T,C > T re FA#: PR#: Program Elemq� e 1 I 01 Tank/Container Information Complete for all sites with cumulative aboveground storage of petroleum 21,320 gallons in tanks`and containers". Complete one box for each tank or each cumulative container product type. EzK ank (2820) ❑ Containers (2821) #of Containers: TA#: Al a/ 1 low , 6 r,� 5 l Total Capacity: _ 5 gallons (per tank or cumulative for con ainer by product type) Install Date: 19-"Tank (2820) ❑ Containers (2821) #of Containers: TA#: 06-R f :2- 2 Total Capacity: "fit:p y: 7 gallons Product Type: (per tank or cumulative for containers by product type) Install Date: Tank (2820) ❑ Containers (2821) #of Containers: STA#: &6-j J� 3 Product Type: Total Capacity: s-�i>�' gallons (per tank or cumulative for con ainers by product type) Install Date: Tank (2820) ElContainers (2821) #of Containers: TA#: 4Product Type: Total Capacity: C C gallons (per tank or cumulative for con ainers by product type) Install Date: Ek"Tank (2820) ElContainers (2821) #of Containers: TA#: 5 Total Ca acit ` r II Product Type: p y ,> C) ga ons (per tank or cumulative for containers by product type) Install Date: Total Capacity this Page: p gallons Total Capacity for Site: -7 / 0570 gallons Comments: EHD Inspector: Reviewed Date: Entered Date: By Initial: \ ► {� ��_�,p� By Initial: `Aboveground storage tank means a tank that has the vcapacity to store 55 gallons or more of petroleum. "Container means a storage device designed to be moved when full. EHD 28-01 AST SURVEY FORM 09/12/08