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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <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 />Speedee Oil Change & Tuneup <br />Page 1 of 1 <br />Facility Address: <br />City: <br />Inspection Date: <br />471 San Carlos Way <br />Stockton <br />Jun 26, 2013 <br />FA M <br />PR #: <br />Program Element: <br />10269 <br />L? <br />1 2831 <br />Tank/Container Information <br />Complete for all sites with cumulative aboveground storage of petroleum ?1,320 gallons in tanks' and containers". <br />Complete one box for each tank or each cumulative container product type. <br />X ❑ Tank 2820 #of Containers: TA#: 516442 Tank(2820❑Containers (2821) <br />1 <br />640 Product Type: 5W20 motor oil <br />Total Capacity: gall ons <br />(per tank or cumulative for containers by product type) Install Date: <br />#of Containers: TA#: 516443 <br />❑X Tank (2820) ❑Containers (2821) <br />2500 <br />Product Type: 5W30 motor oil <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: <br />#of Containers: TA#: 516444 <br />❑X Tank (2820) ❑Containers (2821) <br />3 <br />275 Product Type: ATF <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: <br />#of Containers: TA#: 516445 <br />❑X Tank (2820) ❑ Containers (2821) <br />4 <br />Product Type: 15W40 motor oil <br />120 <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: <br />#of Containers: TA#: 516446 <br />❑X Tank (2820) F]Containers (2821) <br />5 <br />Product Type: used oil <br />1,000 <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: <br />Total Capacity this Page: 2,535 gallons <br />Total Capacity for Site: 2,535 gallons <br />Comments: <br />EHD Inspe <br />Reviewed Date <br />By Initial: �i <br />?/� <br />Entered Date: <br />By Initial: 7 <br />U <br />�� <br />eground storage tank means a tank that has the capacity to sto a 55 gallons or more of petroleum. <br />"Container means a storage device designed to be moved when full. <br />EHD 28-01 REV 04/19/12 AST SURVEY FORM <br />