BILLING - Laserfiche WebLink

Home Browse Search

SAN aJOAQUIN 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: DA SILVA DAIRY FARMS LLC #2 Page 2of 2 Facility Address: City: Inspection Date: 24666 E MARISPOSA RD ESCALON 10/23/2013 FA #: PR #: Program Element: FA0020652 2830 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. ❑ Tank (2820) ❑X Containers (2821) #of Containers: 8 TA#: A5a02ca / 1 440 Product Type: motor oil Total Capacity: gallons (per tank or cumulative for containers by product type) � Tank (2820) ❑ Containers (2821) #of Containers: T1A#: /P,, QV 73� 2 Product Type: �S D `1� Total Capacity: 150 gallons (per tank or cumulative for containers by product type) Install Date: Tank (2820) ❑Containers (2821) #of Containers: TA#: BcSo�73 1 3 Product Type: pA D i g b 4—�. 15 ID Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: �; : ,/ #of Containers: TA#: ©&j 22 Tank (2820) ❑Containers (2821) -o 4 � Product Type: & ❑ 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: 440 gallons Total Capacity for Site: gallons Comments: DAIRY FARM IS EXEMPT FROM APSA STILL REQUIRED FEDERALLY TO HAVE AN SPCC PLAN EHD Inspector: An K , I \ Reviewed ,/ Date: By Initial: -U a O Entered Date: By Initial: `Aboveground 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