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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 /> Schaefer Systems LLC Page 1 of 2 <br /> Facility Address: City: Inspection Date: <br /> 1250 E. Thurman Rd. Lodi, CA 95240 Sep 9, 2011 <br /> FA#: PR#: Program Element: <br /> FA0010902 �,5-3 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 /> ��So'2D�gLr <br /> 0 Tank (2820) ❑ Containers (2821) #of Containers: TA#: <br /> 1 ,800 Product Type: oil <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) unknown <br /> Install Date: <br /> 0 Tank (2820) ❑ Containers (2821) #of Containers: TA#: ,55A03 c? `7 <br /> 2 1,800 Product Type: oil <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: unknown <br /> X❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: <br /> 3 700 Product Type: oil <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: unknown <br /> ❑X Tank (2820) ❑ Containers (2821) #of Containers: TA#: Z9,5 9,!5) <br /> 4 1,000 Product Type: oil <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: unknown <br /> ❑ Tank (2820) ❑X Containers (2821) #of Containers: 2 TA#: 4'L5 <br /> 5300 Product Type: oil <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: unknown <br /> Total Capacity this Page: 5,600 gallons Total Capacity for Site: 6,040 gallons <br /> Comments: <br /> While on site to conduct a routine hazardous waste inspection the AST's were observed. <br /> EHD Inspector: \ /►l/ Reviewed Date: I; I Entered Date:oC B Initial: �w ✓ I 1 B 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 />