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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 Page 1 of 1 <br />Facility Address: City: Inspection Date: <br />471 San Carlos Way Stockton Jun 26, 2013 <br />FA #: PR #: Program Element: <br />10269 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 />❑ <br />X Tank 2820) ❑Containers (2821) #of Containers: TA#: 516442 <br />( <br />1 Total Capacity: gallons 640 Product Type: 5W20 motor oil <br />(per tank or cumulative for containers by product type) Install Date: <br />❑X Tank (2820) ❑Containers (2821) <br />#of Containers: TA#: 516443 <br />2500 Product Type: 5W30 motor oil <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: <br />❑X Tank (2820) ❑Containers (2821) <br />#of Containers: TA#: 516444 <br />3 275 Product Type: ATF <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: <br />❑X Tank (2820) ❑ Containers (2821) <br />#of Containers: TA#: 516445 <br />4 120 Product Type: 15W40 motor oil <br />Total Capacity: gallons <br />(per tank or cumulative for containers by product type) Install Date: <br />❑X Tank (2820) ❑ Containers (2821) <br />#of Containers: TA#: 516446 <br />5 1 000 Product Type: used oil <br />Total Capacity: � gallons <br />(per tank or cumulative for containers by product type) Install Date: <br />Total Capacity this Page: 2,535 gallons Total Capacity for Site: 2,535 gallons <br />Comments: <br />[414 <br />EHD Inspe ter—) % Reviewed Date: Entered Date: <br />By Initial: By Initial: <br />&AlXj-eground storage tank means a tank that has the capacity to store 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 />