BILLING - Laserfiche WebLink

Home Browse Search

SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTME. 600 East Main Street, Stockton, CA 95202-3019 Telephone: (209) 468-3420 Fav: (209) 468-3433 iYeh: www.sjgov.org/ehd ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM Facility Name: / r IJU � IL �AJ'n . Gor • PN � L? - Page of -J Facility Address: City: Inspecti n Date: N -f L FA #:7�0 Program Element: Cl 5-�2 -7e_ g Tank/Container Information Complete for all sites with cumulative aboveground storage of petroleum Z 1320 gallons in tanks and containers over 55 gallons. Complete one box for each tank or each cumulative container product tvpe. ITank (2820) El Containers (2821) #of Containers: TA#: Qlj �5�g(P >250 gallons) (>55 gallons and <250 gallons) yp ��' l / Sd �f 2 , Loq (,r , 0 0 0 Product T e: Total Capacity. a ons /� �� (per tank or cumulative for coptainers ,y gKoduct tape) Install Date: L 00� I>2Tank (2820) ElContainers (2821) #of Containers: TA#: &571 $ `T 50 gallons) (>55 gallons and <250 gallons) 3 21 o s Fr, o o a Product Type: U Du Total Capacity: allons (per tank or cumulative f containers byQr�cttype) Install Date: 2 O O -7 6( Tank (2820) ❑ Containers (2821) #of Containers: TA#: (>250 gallons) (>55 gallons and <250 gallons) 4 , 5(op o 00 Product Type: 0 Q l Qf7A 8 O Total Capacity: - ��' gallons (per tank or cumulativ r containers by pr2dN1 type) Install Date: 9 % O V Tank 2820 ❑ Containers 2821 / ( ) ( ) #of Containers: TA#:195^ (>250 gallons) (>55 gallons and <250 gallons) 5 420,000 Product Type: UPI 44" (91-1 I& Total Capacity: b9a291gallons C 5 (per tank or cumulative fqr containers by product type) Install Date: Total Capacity this Page: gallons I Total Capacity for Site:it -__--�__ gallons Continents: / / 1 S GI2 , fD % EHD in Reviewed Date ^ 11't Entered r Date: ) I r�� y Initial: By Initial: L%% !j ND 28 01 01/16/08 Tank (2820) ❑ Containers (2821) #of Containers: TA#: D5r 1 (>250 gallons) (>55 gallons and <250 gallons) 2, 0 5 S, oOD (1'Yb�'$ oduct Type: Q `� S�L�02, Total Capacity: (per tank or cumulative gallons or containers by product type) Install Date: 2 0 c� ^7 ITank (2820) El Containers (2821) #of Containers: TA#: Qlj �5�g(P >250 gallons) (>55 gallons and <250 gallons) yp ��' l / Sd �f 2 , Loq (,r , 0 0 0 Product T e: Total Capacity. a ons /� �� (per tank or cumulative for coptainers ,y gKoduct tape) Install Date: L 00� I>2Tank (2820) ElContainers (2821) #of Containers: TA#: &571 $ `T 50 gallons) (>55 gallons and <250 gallons) 3 21 o s Fr, o o a Product Type: U Du Total Capacity: allons (per tank or cumulative f containers byQr�cttype) Install Date: 2 O O -7 6( Tank (2820) ❑ Containers (2821) #of Containers: TA#: (>250 gallons) (>55 gallons and <250 gallons) 4 , 5(op o 00 Product Type: 0 Q l Qf7A 8 O Total Capacity: - ��' gallons (per tank or cumulativ r containers by pr2dN1 type) Install Date: 9 % O V Tank 2820 ❑ Containers 2821 / ( ) ( ) #of Containers: TA#:195^ (>250 gallons) (>55 gallons and <250 gallons) 5 420,000 Product Type: UPI 44" (91-1 I& Total Capacity: b9a291gallons C 5 (per tank or cumulative fqr containers by product type) Install Date: Total Capacity this Page: gallons I Total Capacity for Site:it -__--�__ gallons Continents: / / 1 S GI2 , fD % EHD in Reviewed Date ^ 11't Entered r Date: ) I r�� y Initial: By Initial: L%% !j ND 28 01 01/16/08