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ABOVEGROUND PETROLEUM STORAGE TANK <br />FILE COVER SHEET <br />FACILITY ID#: FA0016949 <br />PROGRAM RECORD #: PR0529974 <br />ADDRESS: 21205 S WAGNER RD <br />FACILITY NAME (DBA): SCOTT VISS <br />FACILITY PHONE: (209) 599-6935 0 <br />FACILITY CONTACT: <br />OWNER NAME: SCOTT VISS <br />OWNER ADDRESS: 21205 S WAGNER RD <br />P/E: 2830 <br />P/E: <br />P/E: <br />CITY: RIPON <br />FACILITY FAX: <br />PHONE: <br />CITY: RIPON <br />PHONE: <br />DATE: 07/17/2009 <br />DATE: <br />DATE: <br />Water Service: <br />❑ <br />Large PWS <br />❑ <br />Small PWS <br />❑ Domestic Well <br />Sewer Service: <br />❑ <br />Public Sewer <br />❑ <br />OnSite WWTX <br />❑ OnSite Septic System <br />Stormwater: <br />❑ <br />Street Drains <br />❑ <br />Street Ditches <br />❑ OnSite Ponds ❑ Other <br />Tank Record ID Tank PE Capacity No of Compartments Additional Description <br />TA0518447 <br />2821 <br />55 1 <br />GAS 87 1 CONTAINER @ 55 GALLONS <br />TA0518448 <br />2820 <br />1000 <br />GAS 87 <br />TA0518449 <br />2820 <br />500 <br />GAS 87 <br />TA0518450 <br />2820 <br />350 <br />DIESEL <br />EH 00 18 rev 04/2008 <br />rpt # : APST New Owner. Create a New Cover Sheet/ Change Label of File <br />