Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> :NVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street,Stockton,CA 95202-3025 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd <br /> ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FOI2;M <br /> Facility Name: / <br /> Page of ' <br /> Facility Address: - ty: Inspec7 Da <br /> - 7 A <br /> �707 <br /> FA#: `� PR#: �� Program Element: <br /> 6 I -�L_ B 30 <br /> Tank/Container Information <br /> Complete for all sites with cumulative aboveground storage of petroleum 2-1320 gallons in tanks and containers over 55 gallons. <br /> Complete one box for each tank or each cumulative container product type. <br /> Tank(2820) ❑ Containers (2821) #of Containers: TAM ��!'7 gD/ <br /> (>250 gallons) (>55 gallons and<250 gallons) <br /> 1 Product Type: _D���� <br /> Total Capacity: Q 0 gallons <br /> (per or cumulative for containers by product type) Install Date: <br /> Tank(2820) ❑ Containers(2821) #of Containers: TA#•. _1 <br /> (>250 gallons) (>55 gallons and<250 gallons) <br /> 2 Product Type: <br /> Total Capacity: 00 a gallons Install Date: <br /> (per tank or cumulative for containers by product type) <br /> rT� <br /> Tank(2820) ❑ Containers (2821) #of Containers: TAM 0u6_1 <br /> (>250 gallons) (>55 gallons and<250 gallons) Type: <br /> 3 <br /> Total Capacity: l7 gallons Product T <br /> (per tank or cumulative for containers by product type) Install Date: <br /> Tank(2820) ❑ Containers (2821) #of Containers: TA#: 06-1 `1 g <br /> (>250 gallons) (>55 gallons and<250 gallons) � <br /> 4 Product Type: .4-74 6-t/w' C2/ Li <br /> Total Capacity: /0-0 gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> Tank(2820) ❑ Containers (2821) #of Containers: TA#: <br /> (>250 gallons) (>55 gallons and<250 gallons) <br /> 5 Product Type: <br /> Total Capacity: /0� gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> Total Capacity this Page: gallons Total Capacity for Site: 0' gallons <br /> Comments: <br /> EHD Inspector: Reviewed Date: Entered Date: <br /> By Initial: ,-�-o� By Initial: <br /> L01/1EHI)28-01 <br /> 6/08 <br />