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ABOVEGROUND PETROLEUM STORAGE TANK <br />FILE COVER SHEET <br />FACILITY ID#: FA0010096 <br />PROGRAM RECORD #: PR0531035 <br />P/E: 2831 DATE: <br />P/E: DATE: <br />P/E: <br />DATE: <br />ADDRESS: 3131 BROOKSIDE RD CITY: STOCKTON <br />FACILITY NAME (DBA): BROOKSIDE GOLF & COUNTRY CLUB <br />FACILITY PHONE: (209) 956-6200 0 FACILITY FAX: <br />FACILITY CONTACT: <br />OWNER NAME: BROOKSIDE GOLF & COUNTRY CLUI <br />OWNER ADDRESS: 3603 ST ANDREWS DR <br />PHONE: <br />CITY: STOCKTON <br />PHONE: <br />Water Service: Large PWS <br />❑ Small PWS <br />❑ Domestic Well <br />Sewer Service: Public Sewer <br />❑ OnSite WWTX <br />❑ OnSite Septic System <br />Stormwater: Street Drains <br />❑ Street Ditches <br />❑ OnSite Ponds Q1 Other <br />Tank Record ID <br />Tank PE <br />Capacity <br />No of Compartments Additional Description <br />TA0519549 <br />2820 <br />1000 <br />GASOLINE <br />TA0519550 <br />2820 <br />500 <br />RED DYE DIESEL <br />TA0519551 <br />2820 <br />300 <br />WASTE OIL <br />TA0519552 <br />2821 <br />110 <br />2 HYDRAULIC OIL 2 CONTAINERS @ 55 GALLONS <br />EACH <br />TA0519553 <br />2821 <br />110 <br />2 MOTOR OIL 15-40 2 CONTAINERS @ 55 GALLONS <br />EACH <br />EH 00 18 rev 04/2008 <br />rpt # : APST New Owner: Create a New Cover Sheet / Change Label of File <br />