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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.org/ehd <br />ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVE ORM <br />Facility Name: <br />Owens Brockway <br />Page of <br />Facility Address: <br />City: <br />Inspection Date: <br />14700 West Schulte Road <br />Tracy <br />May 26, 2011 <br />FA #: <br />PR #: <br />Program Element: <br />0006674 <br />0516327 <br />2832 <br />Tank/Container Information <br />Complete for all sites with cumulative aboveground storage of petroleum >_1,320 gallons in tanks* and containers**. <br />Complete one box for each tank or each cumulative container product type. <br />X❑ Tank (2820) ❑ Containers (2821) #of Containers: 1 TA#: <br />1 <br />55 Product Type: Blosol <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: <br />#of Containers: TA#: 19,6oVIOA�o <br />0 Tank (2820) ❑ Containers (2821) <br />2 <br />Product Type: compressor oil C40#1 <br />96 <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: <br />❑X Tank (2820) ❑ Containers (2821) #of Containers: TA#: S,�Ea,�),gZe U <br />3 <br />Product Type: compressor oil C40#2 <br />96 <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: <br />X❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: <br />4 <br />Product Type: compressor oil C55 <br />96 <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: <br />❑X Tank (2820) ❑ Containers (2821) #of Containers: TA#: <br />5150 <br />Product Type: compressor oil C70 <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: <br />Total Capacity this Page: 493 gallons <br />Total Capacity for Site: gallons <br />Comments: <br />EHD Inspector: <br />Reviewed 7T. f, Date: h <br />By Initial: <br />Entered Date: <br />B Initial: C <br />QS <br />*Aboveground storage 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 />EHD 28-01 REV 06/03/10 AST SURVEY FORM <br />