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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: Owens Brockway Page of Facility Address: City: Inspection Date: 14700 West Schulte Road Tracy May 26, 2011 FA #: PR #: Program Element: 0006674 0516327 2832 Tank/Container Information Complete for all sites with cumulative aboveground storage of petroleum x1,320 gallons in tanks* and containers**. Complete one box for each tank or each cumulative container product type. ❑ Tank (2820) 0 Containers (2821) #of Containers: 6 TA#: D 7 90,Z ja �3_ 1 330 Product Type: GST ISO 32/Compressor Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: #of Containers: 6 TA#: ❑ Tank (2820) X❑ Containers (2821) 2330 Product Type: SAE 85W-140/Gear Total Capacity: gallons ❑ Tank (2820) X❑ Containers (2821) #of Containers: 4 TA#: DS�G 3 Product Type: 80W-90 330 ons Total Capacity: gall (per tank or cumulative for containers by product type) Install Date: #of Containers: 5 -totes TA#: ❑ Tank (2820) RX Containers (2821) 4 Product Type: KleenOil 450 1 250 Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: #of Containers: 5 -totes TA#: ❑Tank (2820) RX Containers (2821) 5 Product Type: Kleenmold 170 1 250 Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: Total Capacity this Page: 3,490 gallons Total Capacity for Site: gallons Comments: EHD Inspector: Reviewed�• Date: q v Entered Date: By Initial: o 1` By Initial: zt *Aboveground storage tank means 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