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ABOVEGROUND PETROLEUM STORAGE TANK <br /> FILE COVER SHEET <br /> FACILITY ID#: FA0019210 P/E: 2840 DATE: 08/12/2014 <br /> PROGRAM RECORD#: PR0528573 P/E: DATE: <br /> CERS ID#: 10187861 P/E: DATE: <br /> ADDRESS: 1339 VAN RYN AVE CITY: MANTECA <br /> FACILITY NAME (DBA): MANTECA WELL 424 <br /> FACILITY PHONE: (209) 239-8460 FACILITY FAX: <br /> FACILITY CONTACT: MANTECA. CITY OF PHONE: <br /> OWNER NAME: MANTECA. CITY OF CITY: MANTECA <br /> OWNER ADDRESS: 1001 W CENTER ST PHONE: (209)239-8455 <br /> Water Service: ❑ Large PWS ❑ Small PWS ❑ Domestic Well <br /> Sewer Service: ❑ Public Sewer ❑ OnSite WWTX ❑ OnSite Septic System <br /> Stormwater: ❑ Street Drains ❑ Street Ditches ❑ OnSite Ponds ❑ Other <br /> Tank Record ID Tank PE Capacity No of Compartments Additional Description <br /> EH 00 18 rev 04/2008 <br /> rpt#: APST New Owner: Create a New Cover Sheet/Change Label of File <br />