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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 />James Cotta Vineyards <br />Page 1 of 2 <br />Facility Address: <br />City: <br />Inspection Date: <br />20200 N. Thornton Rd. Lodi, CA 95242 <br />Lodi <br />Feb 24, 2011 <br />FA #: <br />PR M <br />Program Element: <br />FA0020693 <br />PR0529675 <br />2830 <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 />X❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: O'5 1 19& <br />1 <br />Product Type: diesel <br />1 000 <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: unknown <br />X❑ Tank (2820) L] Containers (2821) #of Containers: TA#: 0 cC, I G R <br />2 <br />k: Product Type: used Oil <br />Total Capaci gallons <br />(per tank or cumulative or c6ntainers by product type) Install Date: unknown <br />X❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: G S I I T7 <br />3 <br />1 000 Product Type: 87 octane gasoline <br />Total Capacity: � gallons <br />(per tank or cumulative for containers by product type) Install Date: unknown <br />#of Containers: TA#: 6�5-Z' <br />RI Tank (2820) ❑ Containers (2821) <br />4 <br />Product Type: dyed diesel <br />000 ons <br />Total Capacity: 1, gall <br />(per tank or cumulative for containers by product type) Install Date: unknown <br />X❑ Tank (2820) F-1 Containers (2821) #of Containers: TA#: 6? �gi9 <br />5 <br />150 Product Type: hydraulic oil <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: unknown <br />Total Capacity this Page: 3,65"allons <br />I Total Capacity for Site: 3%,f® gallons <br />Comments:]] <br />` Y[W #h GN QD l 1 'IN N ItQ <br />�Wlds <br />EHD Inspector: <br />Reviewed Date: <br />By Initial: 1.'L'f'tt <br />Entered Date: <br />By Initial: <br />�� <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 FORD <br />