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� t 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: Quality Tune Up #9 Page 2 of 2 Facility Address: City: Inspection Date: 1014 N. EI Dorado Stockton Jun 3, 2011 FA#: PR#: Program Element: 10266 0 2831 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#: /5USfa`7q.3 1 Total Capacity: gallons 400 Product Type: motor oil (per tank or cumulative for containers by product type) Install Date: ❑ Tank (2820) X❑ Containers (2821) #of Containers: 1 TA#: o2,r R1?* - 2 Total Capacity: 55 Uioc�s motor oil_�cec�trc�e: (per tank or cumulative for container uct type) Install Date: ank (2820) Containers (2821) #of Container: A#: 3 9 roduct Type: e` ty HW/H Total C acity: gallons (per tank or mulative for containers b product type) In II 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: o � gallons Total Capacity for Site: 'E allons Comments: ' /loleo EHD I Reviewed Date 1 Entered Date: By Initial: Y1 By Initial: LL L( "Aboveg ound 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