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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd <br /> ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM <br /> Facility Name: <br /> Meineke Econo Lube Page 2 of 2 <br /> Facility Address: City: Inspection Date: <br /> 6970 N West Lane#130 Stockton Feb 14, 2011 <br /> FA#: PR#: Program Element: <br /> 3874 1528404 2840 <br /> Tank/Container Information <br /> Complete for all sites with cumulative aboveground storage of petroleum 21,320 gallons in tanks'and containers'. <br /> Complete one box for each tank or each cumulative container product type. <br /> NTank (2820) E] Containers (2$21) <br /> #of Containers: TA#:A6-d7D 11 p <br /> 110 Product Type: motor oil (5W-30) <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> RTank{2820} E] Containers (2821) #of Containers: TA#: 0:j2 D 1 ~7 <br /> •.2 90 Product Type: motor oil (15W-40) <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> X❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: a!5 ?g' 1 <br /> 3 Product Type: motor oil (5W-20) <br /> Total Capacity: 90 gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑ Tank(2820) ❑ Containers (2821) #of Containers: TA#: <br /> 4 Product Type: <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> Tank 2820 <br /> F1 { } F] Containers (2821) #of Containers: TA#: <br /> 5 Product Type: <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> Total Capacity this Page: 290 gall nj Total Capacity for Site: 890 gallons <br /> Comments: <br /> EHD Inspector: Reviewed Date: Entered Date: <br /> t By Initial: By Initial: I <br /> *'Ab rdund stor ge tarik means a tank that has the capacity to store 55 gallons or more of petroleum. <br /> **Corhhiner means a storage device designed to be moved when full. <br /> EHD 26-01 REV 06103/10 AST SURVEY FORM <br />