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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 SURVEYIFPRM Facility Name: Owens Brockway Pagee of Facility Address: City: Inspection Date: 14700 West Schulte Road Tracy May 26, 2011 FA #: PR #: Program Element: 0006674 10516327 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. F-1Tank (2820) RX Containers (2821) #of Containers: 1 TA#: 1 55 Product Type: ISO 68 Way Oil Vistac Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: F1 Tank(2820) X❑ Containers (2821) #of Containers: 1 TA#: 2 55 Product Type: ISO 32 Total Capacity: gall ons (per tank or cumulative for containers by product type) Install Date: ❑ Tank (2820) X❑ Containers (2821) #of Containers: 1 TA#: 3 55 Product Type: FM ISO 460 Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: #of Containers: 1 TA#: ❑ Tank (2820) ❑X Containers (2821) 4 55 Product Type: 80W-90/ Gear Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: 1 #of Containers: TA#: F1 Tank(2820) X❑ Containers (2821) 5 55 Product Type: Red Trans fluid Total Capacity: gallons (per tank or cumulative for containers by product type) Install Date: Total Capacity this Page: 275 gallons Total Capacity for Site: gallons Comments: EHD Inspector: I Reviewed Date: 1 By Initial: J 2 ` 11� Entered Date: By Initial: Tj( (I *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