Laserfiche WebLink
r <br /> i SAWN JOAQL3tN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Far. (209)468-3433 Web:www.sjgov.org/ehd <br /> A-BOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FOR <br /> Facility Name: IiaI. e I of O <br /> Facility Address: ' City: Inspection ate: <br /> / Z /� ' Program leme t: <br /> TPR#: n <br /> FA#: C.i <br /> 2� ag <br /> Tank./Container Information <br /> Complete for all sites with cumulative aboveground storage of petroleum >_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: TA#: 0, <br /> (>250 gallons) (>55 gallons and<250 gallons) <br /> 1 Product Type: <br /> Total Capacity: 2�cp©© gallons Install Date: <br /> (per tank or cumulative for containers by product type) <br /> El ) C� <br /> Tank (2820 'Containers (2821) #of Container : ' T #: d�� <br /> a (>250 gallon) (>55 gallons and<250 gallons) <br /> 2 ✓ Product Type: O/� ifG/ <br /> Total Capacity: 1 gallons Install Date: <br /> (per tank or cumulative for containers by product type) l <br /> 0. Tank (2820) e Containers (2821) #of Containers: I A# <br /> (>250 gallons) (>55 gallons and<250 gallons) S ¢� <br /> Product`Type: Ry 6 <br /> 3 Total Capacity: gallons Y., „ T. ..,. <br /> (per tank or cumulative for containers by product type) l <br /> -.. 9 <br /> ❑ Tn��-.Tank (2820) Containers (2821) #of Containers: � �� Jr <br /> (>250 gallons) (>55 gallons and<250 gallons) T Geri Ol <br /> a / i Product I Type: �,/ <br /> Total Capac ty: 6 s gallons <br /> install =ial�. ---- <br /> i aer tank or cumulative for containers by product type, ; <br /> \ C r7 0 <br /> ❑ onta<nes ��o_l� #ox t✓ontainers: TA#: y <br /> 25G gnlict,$) (>55 gallons and<250 gallons) / 1 i <br /> -product TJ Vic' �e, <br /> CUnt,-tin by rrodlc: r,) <br /> 1 <br /> { <br /> EHD Inspector- Reviewed Date: Entered Date: <br /> By Initial: `O,`�,p� By Initial <br /> EHD 23-01 <br /> 01;16/03 <br />