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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENI <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 /> Goehring Pump & Irrigation Page 1 of 2 <br /> Facility Address: City: Inspection Date: <br /> 17754 N. Hwy 88 Lockeford CA 95237 Lockeford Sep 27, 2010 <br /> FA#: PR#: Program Element: <br /> FA0009941 <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 <br /> ❑X -Tank (2820)__ _0 Containers_2&Z1) #of Containers: TA#: D Sf t ri 33 <br /> 1 Total Capacity: 550 gallons Product Type: <br /> gasoline <br /> (per tank or cumulative for containers by product type) <br /> Install <br /> n I I <br /> sta Date: (� <br /> X❑__Taft-(2820)_ ❑ Containers (2821) #of Containers: TA#: <br /> 2 Product-Type: red dye diesel <br /> Total Capacity: 750 gallons ---- <br /> (per tank or cumulative for containers by product type) Install Date: <br /> X❑ Tank(2820) ❑ Containers(2821) #of Containers: TA#: D 5!9 93S <br /> 3 Product Type: clear diesel <br /> nta <br /> Total Capacity: 50 gallons yp <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑ Tank (2820) X❑ Containers (2821) #of Containers: 3 TA#: D Sl <br /> 4Product Type: diesel <br /> Total Capacity: 1�,�) gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑ Tank (2820) [X_1 Containers (2821) <br /> #of Containers: 1 TA#: D S!cfQ3 <br /> 5 Total Capacity: gallons <br /> �'5� Product Type: hydraulic oil <br /> (per tank or cumulative for containers by product type) Install Date: <br /> Total Capacity this Page: to 5 gallonsTotal Capacity for Site: %; 2,600 gallons <br /> Comments: <br /> EHD InspeReviewed bA Date: Entered Date: <br /> J <br /> n% By Initial: /�,� P�•'1� By Initial: -4r,& <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 />