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IL SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Telephone:(209)468-3420 Fax: (209)468-3433 Web:www.sjgov.org/ehd ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM Facility Name: Page 1 of 3 Zoom Car Wash Facility Address: City: Inspection Date: 3434 E Hammer Lane Stockton Nov 13, 2013 FA M PR#: Program Element: 3681 — 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) F-1Containers (2821) #of Containers: TA#: 0516585 1 Total Capacity: gallons 250 Product Type: motor oil (per tank or cumulative for containers by product type) Install Date: ❑X Tank (2820) F-1Containers (2821) #of Containers: TA#. 0516586 V 2Total Capacity: gall 250 Product Type: motor oil ons (per tank or cumulative for containers by product type) Install Date: ❑X Tank (2820) F-1Containers (2821) #of Containers: TA#. 0516587 3 Total Capacity: gall 250 Product Type: motor oil ons (per tank or cumulative for containers by product type) Install Date: X❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: 0516588 4 Total Capacity: gall 250 Product Type: motor oil ons (per tank or cumulative for containers by product type) Install Date: X❑ Tank 2820 #of Containers: TA#: 0516589 J Tank (2820 ❑ Containers (2821) 5 Total Capacity: 1,000 gallons Product Type: motor oil (per tank or cumulative for containers by product type) Install Date: Total Capacity this Page: 2,000 gallons Total Capacity for Site: 4,850 gallons Comments: EHD I r: Reviewed Date: n Entered Date: By Initial: U�i I I S By Initial: 1 L 1-5 " ovegroun 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 04/19/12 AST SURVEY FORM