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ABOVEGROUND PETROLEUM STORAGE TANK <br />FILE COVER SHEET <br />FACILITY ID#: FA0016912 <br />PROGRAM RECORD #: PRO530177 <br />ADDRESS: 8665 WEST RIPON RD <br />FACILITY NAME (DBA): HERMAN VAN LAAR <br />FACILITY PHONE: (209)599-2723 0 <br />FACILITY CONTACT: <br />OWNER NAME: HERMAN VAN LAAR <br />OWNER ADDRESS: 8665 W RIPON RD <br />P/E: 2830 DATE: 07/21/2009 <br />P/E: DATE: <br />P/E: DATE: <br />CITY: MANTECA <br />FACILITY FAX: <br />PHONE: <br />CITY: MANTECA <br />PHONE: <br />Water Service: <br />Large PWS <br />❑ <br />Small PWS <br />❑ Domestic Well <br />Sewer Service: <br />,� Public Sewer <br />❑ <br />OnSite WWTX <br />❑ OnSite Septic System <br />Stormwater: <br />❑ Street Drains <br />❑ <br />Street Ditches <br />❑ OnSite Ponds ❑ Other <br />Tank Record ID Tank PE Capacity <br />TA0518571 <br />2820 <br />500 <br />TA0518572 <br />2820 <br />500 <br />TA0518573 <br />2820 <br />500 <br />TA0518574 <br />2820 <br />500 <br />TA0518575 <br />2820 <br />500 <br />TA0518576 <br />2820 <br />200 <br />TA0518577 <br />2820 <br />1000 <br />TA0518578 <br />2820 <br />350 <br />No of Compartments Additional Description <br />DIESEL <br />DIESEL <br />DIESEL <br />DIESEL <br />GAS <br />WASTE OIL <br />DIESEL <br />DIESEL <br />EH 00 18 rev 04/2008 <br />rpt ## : APST New Owner. Create a New Cover Sheet / Change Label of File <br />