Laserfiche WebLink
SAN JOAQUIN COUNTY ' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> • 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 fax:(209)468-3433 Web:www.sjgov.orglehd <br /> ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM <br /> Tager Page of <br /> City: <br /> PR 6: Program <br /> TankfContalt er information <br /> Complete for all sites with cumulative aboveground storage of petroleum 21,320 gallons in tanks`and containers"`. <br /> Complete one box for each tank or each cumulative container product type. <br /> #of Containers: TA#: �°St a d;7 <br /> Tank(2820) ❑ Containers(2821} J <br /> 1 Total Capacity: gallons Product Type: <br /> W*w cn Uwwe W cwtemer:by PD&wi type) Install bate: <br /> Tank(2820) ❑ Conitainers (2821) #of Containers: TA#: Vit q a- ` <br /> 2 Total Capacity: 5-60 gallons Product Type: <br /> (pertar.k m cumubbv rot conminera by Product type) Install Date: <br /> O/Tank(2820) ❑ Containers (2821) #of Containers: TA#: 12,6-1 <br /> 3 Total Capacity: gallons Product Type: r A J TZ <br /> (pw ta"k or cumulabvaror coofalmfd by prod=type) Install Date: <br /> Tank(2820) ❑ Containers (2821) #of Containers: ;' Lt P <br /> d _ Product Type; <br /> Total Capacity: gallons <br /> {per'Wk orrumWabve ror cdnteinara by Product type) Install Date: <br /> Tank(2820) © Containers(2821) #of Containers; TA#: <br /> 5 ToW Capacity: 3 gallons Product Type: <br /> awtv*S cmustiveforco`>lnarabypMdWtyp`) install Date: <br /> Tout CI 09 ft this Paye: l gailata Total Capaoity for Site: ga) <br /> COmrrterit5: <br /> ty <br /> e J # <br /> b b <br /> tnepekor: Reviewed � � �( Data: Entered Date: <br /> By Inkial: 7 �.1�" ay Inrttal: <br /> ' roundstorage 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 /> END 20.01 Aso suavEY Foaat <br /> oar1 <br />