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ABOVEGROUND PETROLEUM STORAGE TANK <br /> FILE COVER SHEET <br /> FACILITY ID#: FA0016691 P/E: 2840 DATE: 02/23/2009 <br /> PROGRAM RECORD#: PR0529247 PIE: DATE: <br /> P/E: DATE: <br /> ADDRESS: 19199 E AVENA AVE CITY: ESCALON <br /> FACILITY NAME (DBA): RICHARD TEICHEIRA <br /> FACILITY PHONE: (209) 239-9581 0 FACILITY FAX: <br /> FACILITY CONTACT: PHONE: <br /> OWNER NAME: RICHARD TEICHEIRA CITY: MANTECA <br /> OWNER ADDRESS: 715 POPLAR AVE 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 /> EH 00 18 rev 04/2008 <br /> rpt#: APST New Owner: Create a New Cover Sheet/Change Label of File <br />