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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 21,320 gallons in tanks' and containers"". Complete one box for each tank or each cumulative container product type. #of Containers: TA#: X❑ Tank (2820) F-1 Containers (2821) 1 140 Product Type: diesel Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: X❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: 2Total 180 Product Type: diesel Capacity: gall ons (per tank or cumulative for containers by product type) Install Date: #of Containers: TA#: B FX Tank(2820) F-1Containers (2821) _62012 3 195 Product Type: diesel Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: X❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: 4 Product Type: diesel ons Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: #of Containers: TA#: r-5 ❑X Tank (2820) ❑ Containers (2821) 5Total 100 Product Type: Biosol Capacity: gallons (per tank or cumulative for containers by product type) Install Date: Total Capacity this Page: 810 gallons Total Capacity for Site: gallons Comments: EHD Inspector: , I 1 Reviewed Date: By Initial: J� l Entered Date: By Initial: Zeg 1/ "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