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UL <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)468-3433 Web:www.sjgov.org/ehd <br /> ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM <br /> Facility Name: Page 2 Of 3 <br /> Zoom Car Wash <br /> Facility Address: City: Inspection Date: <br /> 3434 E Hammer Lane Stockton Nov 13, 2013 <br /> FA M PR M Program Element: <br /> 3681 ,�s g 2831 <br /> Tank/Container Information <br /> Complete for all sites with cumulative aboveground storage of petroleum >_1,320 gallons in tanks* and containers". <br /> Complete one box for each tank or each cumulative container product type. <br /> Q Tank (2820) F-1 Containers (2821) <br /> #of Containers: TA#: 0516590 ✓. <br /> 1Total Capacity: gall <br /> 250 Product Type: motor oil <br /> ons <br /> (per tank or cumulative for containers by product type) <br /> Install Date: <br /> Q Tank (2820) F-1 Containers (2821) <br /> #of Containers: TA#: 0516591 <br /> 2 Total Capacity: 500 gallons Product Type: motor oil <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑X Tank (2820) ❑ Containers (2821) <br /> #of Containers: TA#: 0516592 J <br /> 3 500 Product Type: ATF <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> X❑ Tank (2820) F1 Containers (2821) <br /> #of Containers: TA#: 0516593 <br /> 4 Total Capacity: 1, gall <br /> 000 Product Type: used oil <br /> ons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> X❑ Tank (2820) E] Containers (2821) <br /> #of Containers: TA#: 0516594 / <br /> 5Total Capaci <br /> 250 Product Type: motor oil <br /> ty: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> Total Capacity this Page: 2,500 gallons Total Capacity for Site: 4,850 gallons <br /> Comments: <br /> EHD In Reviewed n Date: Entered Date: <br /> By Initial: Y C 4 S� 13 By Initial: [( a )3 <br /> veground st age 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 REV 04/19/12 AST SURVEY FORM <br />