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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, CA 95202-3029 Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ehd ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM Facility Name: Schaefer Systems LLC Page 2 of 2 Facility Address: City: Inspection Date: 1250 E. Thurman Rd. Lodi, CA 95240 Sep 9, 2011 FA#: PR#: Program Element: FA0010902 2831 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. ❑ Tank (2820) X❑ Containers (2821) #of Containers: TA#. _06o2O 4D I 1 385 Product Type. Oil Total Capacity: gallons (per tank or cumulative for containers by product type) unknown Install Date: ❑ Tank (2820) X❑ Containers (2821) #of Containers: 1 TA#: AS o� 2 Total Capacity: 55 gallons Product Type: used oil (per tank or cumulative for containers by product type) Install Date: unknown ❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: 3 Product Type: Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: ❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: 4 Product Type: Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: ❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: 5 Product Type: Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: Total Capacity this Page: 440 gallons Total Capacity for Site: 6,040 gallons Comments: While on site to conduct a routine hazardous waste inspection the AST's were observed. EHD Inspector: Reviewed Date: Entered Date: �j Lh� By Initial: G +,t (( By Initial: l / "'Aboveground stora a tank means a tank that has the capacity to store 55 gallons or more of petroleum. I —Container means a storage device designed to be moved when full. EHD 28-01 REV 06/03/10 AST SURVEY FORM