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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.sjgov.org/ehd ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM Facility Name: Goehring Pump & Irrigation Page 1 of 2 Facility Address: City: Inspection Date: 17754 N. Hwy 88 Lockeford CA 95237 Lockeford Sep 27, 2010 FA#: PR#: Program Element: FA0009941 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. X❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#-. D S/gg3.3 1 �h Product Type: gasoline Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: X❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: 2750 Product Type: red dye diesel Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: XJ Tank (2820) ❑ Containers (2821) #of Containers: TA#: DS!`7535 3 750 Product Type: clear diesel Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: ❑ Tank (2820) ❑X Containers (2821) #of Containers: 2 TA#: 4Product Type: diesel Total Capacity: 1 u gallons (per tank or cumulative for containers by product type) Install Date: ❑ Tank (2820) [X Containers (2821) #of Containers: 1 TA#: D S(c(Q37 5 7- Product Type: hydraulic oil Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: Total Capacity this Page: 2.2 1 5 gallons Total Capacity for Site: 2,600 gallons Comments: EHD Inspector Reviewed Date: Entered Date:p 3 CJI C `J/r By Initial: � Ok•1%-I� By Initial: !l 1 1 'Aboveground storage tank means a tank that has the capacity to store 55 gallons or more of petroleum. "Container means a storage device designed to be moved when full. EHD 28-01 REV 06/03/10 AST SURVEY FORM