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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM Facility Name: Oilstop Page 1 of 3 Facility Address: City: Inspection Date: 301 W. Kettleman Lane Lodi, CA 95240 Lodi Nov 21, 2013 FA M PR M Program Element: FA0021137 �--L— 2831 Tank/Container Information Complete for all sites with cumulative aboveground storage of petroleum >_1,320 gallons in tanks'and containers". Complete one box for each tank or each cumulative container product tXee. Is X❑ Tank2820 #of Containers: TA#: ( ) ❑ Containers (2821) 1 -1 ' \�01 Product Type: ATF Total Capacity: aIIons (per tank or cumulative for containers by product type) Install Date: unknown l ❑X Tank (2820) ❑ Containers (2821) #of Containers: TA#: ©1 I Cly S'8 J 2Total Capacity: 1201 gallons Product Type: 80W-90 i (per tank or cumulative for containers by product type) Install Date: unknown ❑X 1Tank (2820) ❑ Containers (2821) #of Containers: J TA#: 05:10—6 51Z 3 Total Capacity: pe 4XOSI Product Type: 15W-40 (per tank or cumulative for containers by product type) Install Date: unknown ❑X Tank (2820) ❑ Containers (2821) #of Containers: TA#: 4 Total Capacity: 480 J gallons Product Type: 5W-30 (per tank or cumulative for containers by product type) Install Date: unknown ❑X Tank (2820)� F-1 Containers (2821) #of Containers: TA#: 5 � Product Type: used oil -/Total Capacity: 1,000 gallons (per tank or cumulative for containers by product type) Install Date: unknown Total Capacity this Page: 1,795 gallons Total Capacity for Site: 2,640 gallons Comments: EHD Inspector: Reviewedn Date: Entered Date: By Initial: Y` W 2�I�3 By Initial: "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 04/19/12 AST SURVEY FORM