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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 3 of 3 Zoom Car Wash Facility Address: City: Inspection Date: 3434 E Hammer Lane Stockton Nov 13, 2013 FA M PR M Program Element: 3681 — 2831 Tank/Container Infor ation 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-1 Containers (2821) #of Containers: TA#: 0517513 ./ 1 Total Capacity: gall 250 Product Type: motor oil ons (per tank or cumulative for containers by product type) Install Date: X❑ Tank (2820) F-1 Containers (2821) #of Containers: TA#: 0517514 2Total Capacity: gall 100 Product Type: motor oil ons (per tank or cumulative for containers by product type) Install Date: X❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: 0517515 3 100 Product Type: motor oil 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: 450 gallons Total Capacity for Site: 4,850 gallons Comments: EHD Inspector: Reviewed Date: Entered Date: By Initial: U �� S 13 By Initial: o e round storag tank means a tank that has the capacity to store 55 gallons or more of petroleum. ** ontainer means a storage device designed to be moved when full. EHD 28-01 REV 04/19/12 AST SURVEY FORM