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ABOVEGROUND PETROLEUM STORAGE TANK <br />FILE COVER SHEET <br />FACILITY ID#: FA0005365 <br />PROGRAM RECORD #: PRO530450 <br />P/E: 2830 <br />DATE: <br />P/E: <br />DATE: <br />P/E: <br />DATE: <br />ADDRESS: 5920 E LIVE OAK RD CITY: LODI <br />FACILITY NAME (DBA): JOHN KAUTZ FARMS <br />FACILITY PHONE: (209) 334-4786 0 <br />FACILITY CONTACT: <br />OWNER NAME: KAUTZ. JOHN FARMS <br />OWNER ADDRESS: 5490 E BEAR CREEK RD <br />FACILITY FAX: <br />PHONE: <br />CITY: LOD1 <br />PHONE: <br />08/28/2009 <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 />Q <br />Street Ditches <br />❑ OnSite Ponds ❑ Other <br />Tank Record ID <br />Tank PE <br />Capacity <br />No of Compartments <br />Additional Description <br />TA0502213 <br />2322 <br />8000 <br />TA0502214 <br />2322 <br />3000 <br />TA0502215 <br />2322 <br />3000 <br />TA0502216 <br />2322 <br />4000 <br />TA0502217 <br />2322 <br />550 <br />TA0518916 <br />2820 <br />4000 <br />DIESEL <br />TA0518917 <br />2820 <br />3000 <br />GAS 87 <br />TA0518918 <br />2820 <br />3000 <br />GAS 87 <br />TA0518919 <br />2821 <br />200 <br />1 <br />MOTOR OIL 1 CONTAINER @ 200 GALLONS <br />TA0518920 <br />2821 <br />200 <br />1 <br />HYDRAULIC OIL 1 CONTAINER @ 200 GALLONS <br />TA0518921 <br />2821 <br />200 <br />1 <br />WASTE OIL 1 CONTAINER @ 200 GALLONS <br />EH 00 18 rev 04/2008 <br />rpt # : APST New Owner: Create a New Cover Sheet / Change Label of File <br />