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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, CA 95202-3029 Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM Facility Name: California Water Service, Station #1 Page 1 of 1 Facility Address: City: Inspection Date: 1602 Lafayette, Stockton Stockton May 27, 2011 FA#: PR#: Program Element: FA000 9 9 PR0521958 2831 Tank/Container Information Complete for all sites with cumulative aboveground storage of petroleum 21,320 gallons in tanks"and containers`*. Complete one box for each tank or each cumulative container product type. X❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: 1Total Capacity: 2,000 gallons Product Type: 87 octane gasoline (per tank or cumulative for containers by product type) Install Date: X❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: a-gaJ� 2Total Capacity: gallons 500 Product Type: 87 octane gasoline (per tank or cumulative for containers by product type) Install Date: V' X❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: 3 Total Capacity: gallons 309 Product Type: diesel (per tank or cumulative for containers by product type) Install Date: ❑ Tank (2820) X❑ Containers (2821) #of Containers: 2 TA#: 4 Total Capacity: gallons 110 Product Type: diesel (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: 2,919 gallons Total Capacity for Site: 2,919 gallons Comments: This is an update of the previous AST survey conducted on August 2018. The 500 gallon gasoline tank is empty and has been taken off-line since the pump was switched to electric, but has not been capped off and permanently closed. Owner intends to remove it off-site. Please conduct appropriate agencies when you intend to remove it or permanently close it on site. The 309-gallon diesel tank is a part of the recently installed generator system for the booster pump for the inactiv water tank on site. EHD In ector Reviewed /� Date: Entered Date: By Initial: UI V f3\Vill, 1 By Initial: /� N l� Ab eg rto and torage to ans 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 06/03/10 AST SURVEY FORM