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ENvi20N1v E z AL faL TH DEFPRI YtFN <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> l elen-Tnose: (+209)468-3420TTFa-v-' (20r9)468-3433 p3��bj �zyv r�v.sjgov.ory7ehd�r y <br /> a'Y a� RMI <br /> �/ Y <br /> Facility Name: <br /> f, TCA[,C�� CITY (� UQ GIG f�vUj2l�S ?age I o <br /> City: `' n Inspection ate <br /> Facility Address: Y/1/ # A / O C► <br /> PR A. Program Efg�y�enfr'D <br /> FA#: hG/'VO G� <br /> TanlJContAner information <br /> Complete for all sites with cumulative aboveground storage of petroleum ?1320 gallons in tanks and containers over 55 gallons. <br /> Complete one box for each tank or each cumulative container product type. <br /> tnik (2820) ❑ Containers (2821) sof Containers: TAT: <br /> (>250 gallons) (>55 gallons and<250 gallons) <br /> 1 Product Type: 12 - <br /> Total Capacity: Cr 0 Lallans Install Date: <br /> (per tank or cumulative for containers by product type) <br /> ❑ Tark (2820) ❑ Containers (2521) 4.'of Containers: TAT. <br /> r>2,n gallgrFl (>55 galens^>,.d<250 o:nors% J <br /> 2 i Product Type: s <br /> ity: ballons <br /> Total Cp-pa., nsa� 1 <br /> Date: <br /> (per tanl:or cumulative for containers by product type) <br /> ❑ Tank (2820) ❑ Containers (2821) #ofContainers: TAT: i <br /> (>250 gallons) (>55 gallons and<250 gallons) <br /> Product Type- <br /> Las _ <br /> 1 I Otal Capacity. 111�1Gz.. e:LiL. — — <br /> loer tank or cumulative for containtTs by product type) f <br /> 1_ 4 <br /> I`; 'bark {2,R-20 I;; C,onrainPrs `2c82�; 7 Jr Contac fes_. T f^,_�. i <br /> >250 ga!ions) (>55 aslic%m and X250 gallons; ' <br /> i <br /> D ,l,.r-e.0 4 a •t��:u„t w Type: <br /> i <br /> 1: 4nn� f� '--^ ^- � ���'' r• Tr`i4-r: <br /> an _ {2q,2�'� lil C 1 i i] J j o Con,, e"S: _� <br /> >-50 gallons) (>cs aailor_a„C<250 gl'.ions) <br /> � ......a..r`y:-��.�._./...,., _ �.rC,1.1.:,.. - ,;r^dC•�•;,r.,axd ..a..��.e__ ''� .,�... _�-_ _�_ .-`------ ---- --' - -'-------.._�. <br /> 00 <br /> 1 <br /> 1 <br /> R viewed Dale: Entered Date: <br /> l HIS Iuspcctor. B latival: a <br /> Qy Initis � ,ry,�.17` Y <br /> ,: � 1 <br /> LI-ID 2S U I <br /> 0! 16,03 <br />