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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 2 of 2 Facility Address: City: Inspection Date: 17754 N. Hwy 88 Lockeford CA 95237 Lockeford Sep 27, 2010 FA#: PR#: Program Element: FA0009941 D 53 5 L �3 ag�3 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: 1 TA#: c Sig,?3 g 1 Total Capacity: gallons 55 Product Type: kerosene (per tank or cumulative for containers by product type) Install Date: ❑ Tank (2820) X❑ Containers (2821) #of Containers: 6 TA#: Q51993 2 X30 Product Type: Oil Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: ❑ 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: 385 gallons Total Capacity for Site: 2,600 gallons Comments: EHD Inspector: Reviewed Date: Entered Date: "A� By Initial: By Initial 3000 "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