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ABOVEGROUND PETROLEUM STORAGE TANK <br />FILE COVER SHEET <br />FACILITY ID#: FA0009310 PIE: 2831 DATE: 02/11/2008 <br />PROGRAM RECORD #: PRO527710 P/E: DATE: <br />P/E: DATE: <br />ADDRESS: 15910 N DAVIS RD CITY: LODI <br />FACILITY NAME (DBA): DSW AG INC <br />FACILITY PHONE: (209)369-2914 0 FACILITY FAX: <br />FACILITY CONTACT: PHONE: <br />OWNER NAME: D & C WORTLEY 1995 FAMILY TRUS crrv: LODI <br />OWNER ADDRESS: 15910 N DAVIS RD PHONE: <br />Water Service: 101 Large PWS <br />Sewer Service: In Public Sewer <br />Stormwater: [P] Street Drains <br />EPA ID#: <br />EH 00 18 rev 05/2007 <br />rpt # : HWCS <br />New Owner: Create a New Cover Sheet / Change Label of File <br />Small PWS <br />Domestic Well <br />OnSite WWTX <br />OnSite Septic System <br />Street Ditches <br />Onsite Ponds [P] Other <br />New Owner: Create a New Cover Sheet / Change Label of File <br />