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ABOVEGROUND PETROLEUM STORAGE TANK <br /> FILE COVER SHEET <br /> FACILITY ID#: FA0016749 P/E: 2830 DATE: 12/22/2008 <br /> PROGRAM RECORD#: PR0529054 P/E: DATE: <br /> P/E: DATE: <br /> ADDRESS: 6625 AVENUE D CITY: MANTECA <br /> FACILITY NAME (DBA): DE RUYTER FARM <br /> FACILITY PHONE: (209) 649-0295 0 FACILITY FAX: <br /> FACILITY CONTACT: PHONE: <br /> OWNER NAME: DE RUYTER FARM CITY: MANTECA <br /> OWNER ADDRESS: 6625 AVENUE D PHONE: <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 /> TA0517698 2820 1000 DIESEL <br /> TA0517699 2820 300 GAS 87 <br /> TA0517700 2820 300 GAS 87 <br /> EH 00 18 rev 04/2008 <br /> rpt 4: APST New Owner: Create a New Cover Sheet/Change Label of File <br />