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EHD Program Facility Records by Street Name
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2800 - Aboveground Petroleum Storage Program
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PR0530703
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Entry Properties
Last modified
10/16/2018 8:51:14 PM
Creation date
10/15/2018 3:03:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2800 - Aboveground Petroleum Storage Program
File Section
BILLING
RECORD_ID
PR0530703
PE
2830
FACILITY_ID
FA0005601
FACILITY_NAME
ROOS RANCHES INC
STREET_NUMBER
23313
Direction
S
STREET_NAME
HIGHLAND
STREET_TYPE
AVE
City
RIPON
Zip
95366
APN
22817044
CURRENT_STATUS
01
SITE_LOCATION
23313 S HIGHLAND AVE
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
EJimenez
Tags
EHD - Public
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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: /-% __11 , -, <br /> fiZ)(� 1-,- <br /> , Page of <br /> Facility Address: /"City: Inspection D e: <br /> 1'21� � 2 � AVr <br /> FA#: PR M Pr . r m E m <br /> �' 56_107L3 Ls3p <br /> Tank/Container Information <br /> Complete for all sites with cumulative aboveground storage of petroleum 21,320 gallons in tanks`and containers". <br /> Complete one box for each tank or each cumulative container product type. <br /> ' rank (2820) Containers (2821) #of Containers: TA#: <br /> 1 Total Capacity: 2- gallons Product Type: �l�Q� �i� 411 J <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: <br /> 2 Product Type: <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: <br /> 3 Product Type: <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: <br /> 4 Product Type: <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: <br /> 5 Product Type: <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> Total Capacity this Page: �� gallons Total Capacity for Site: gallons <br /> Comments: <br /> EHD Inspector: / Reviewed Date: Entered j Date: <br /> By Initial: By Initial: (� <br /> 1 <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 AST SURVEY FORM <br /> 09/12/08 <br />
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