BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMEl 600 East Main Street, Stockton, CA 95202-30/_9 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY "-"-'RM q Facility Name: 1 /. / 0)W r %?%s Page --/--of Facility Addre s: V t 6U SG t/L1� City: Inspect- Date z 68 FA #: PR #: Program Element: Tank/Container Information Comple for all sites with cumulative aboveground storage of petroleum >_ 1320 gallons in tanks and containers over 55 gallons. Complete one box for each tank or each cumulative container product type. ank (2820) ❑ Containers (2821) #of Containers: TA#: (>250 gallons) (>55 gallons and <250 gallons) 1 Product Type: Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: ank (2820) VContainers (2821) #of Containers: b TAM Ofl (1250 gallons) (>55 gallons and <250 gallons) 11 2'2�D Total Capacity: gallons Product Type: pl (per tank or cumulative for containers by product type) Install Date: Wank (2820)ontainers (2821) #of Containers: TA#: (>250 gallons) (> gallons and <250 gallons) 3 Product Type: Total Capacity: 00if- ki gallons Install Date: (per tank or cumulative for containers By product type) (282 0) ntainers (282 1) *(125;0gall.ns) #of Containers: TA#: (>55 gallons and <250 gallons) 4 Product Type:--64.� Total Capacity: OA gallons Install Date: (per tank or cumulative for containers b product type) #ank (2820) Containers (2821) #of Containers: TA#: 25C gallons) (>55 gallons and <250 gallons) 5 Total Capacity: � S 5 Product Type: � gallons Install Date: (per tank or cumulative for containers by product type) Total Capacity this Page: gallons Total Capacity for Site: gallons Comments: EHD Inspector: Reviewed Date: Entered Date: By Initial: By Initial: EHD 28-01 01/16/08