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�qu i ry <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />.jl 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-3433 Web: www.sigov.org/ehd <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: Jacqueline Polk <br />DATE: May 8, 2013 <br />ADDRESS: 10549 Jack Tone Rd. Stockton, CA 95212 <br />CITY: Stockton <br />ZIP CODE: 95212 <br />OWNER/OPERATOR: Jacqueline Polk <br />TELEPHONE#: (209) 931-1391 <br />TYPE OF INSPECTION: ElCOMPLAINT ElCONSULTATION NX OTHER <br />ELEMENT: PROGRAM 2830 <br />ID#: RECORD PR0530345 <br />NATURE OF COMPLAINT/CONSULTATION: <br />On site to conduct an above ground storage tank(AST) survey and routine inspection. <br />OBSERVATIONS/COMMENTS: <br />The following AST's are located at this facilty: <br />87 tank 500 gallons <br />Diesel tank 1,000 gallons <br />Diesel tank 3,000 gallons <br />motor oil drums 220 gallons <br />used oil drums 110 gallons <br />Total liquid petroleum storage capacity is at 4,830 gallons. <br />CORRECTIVE ACTIONS: <br />Per California Health and Safety Code 25270.4.5(b) The owner or operator of a tank facility exempt <br />pursuant to this subdivision shall take the following actions: (1) Conduct a daily visual inspection of <br />any storage tank storing petroleum. (2) Allow the UPA to conduct a periodic inspection of the tank <br />facility. (3) If the UPA determines installation of secondary containment is necessary for the <br />protection of the waters of the state, install a secondary means of containment for each tank or <br />group of tanks where the secondary containment will, at a minimum, contain the entire contents of <br />the largest tank protected by the secondary containment plus precipitation. Continue to ensure that <br />your AST's have adequate secondary containment and continue daily visual inspections of any <br />storage tank thatcontains liquid petroleum material. <br />CORRECT BY: <br />6 <br />INSPECTED BY: <br />RECEIVED BY: <br />DATE: g` <br />EHD 48-05 Rev. 04/19/12 INSPECTION REPORT <br />