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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 />Lodi iron Works <br />Page ( of <br />Facility Address: <br />City: <br />Inspection Date: <br />820 S. Sacramento St. Lodi, CA 95240 <br />Lodi <br />Jul 13, 2011 <br />FA #: <br />PR #: <br />Program Element: <br />3812 <br />D53 -'�L <br />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 />❑ Tank (2820) X❑ Containers (2821) #of Containers: TA#: /f =z9 <br />1 <br />165 Product Type: used oil <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) unknown <br />Install Date: <br />X❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: 6,15-212393 <br />2U <br />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#:,QjaD�oZ� <br />❑X Tank (2820) F-1Containers(2821) <br />3 <br />300 Product Type: diesel <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: 11 TA#: <br />4 <br />6rl� Product Type. oil <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: unknown <br />#of Containers: 13 TA#: A15-QIX31:2p <br />❑ Tank (2820) ❑X Containers (2821) <br />5715 <br />Product Type: petroleum based binder <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: unknown <br />Total Capacity this Page: 2,785 gallons <br />Total Capacity for Site: 2,785 gallons <br />Comments: <br />This facility does not have a Spill Prevention Control and Countermeasures Plan. <br />The diesel aboveground storage tank does not have secondary containment. <br />EHD Inspect �, <br />Reviewed Date: <br />By Initial: `�w �` <br />Entered Date: <br />By Initial:22 ( B <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 />