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V. 0 46 <br /> UNDERGROUND STORAGE TANK DlSPOSMON TRACKING RECORD <br /> .at.a,ts.trut••ra.ar.fes».fr,ret..f•.sirf•.••ut••f....r•t•.rif•if•r•far.raafa.tta•.u..ra..,••.f..f.s•• <br /> MICTION I -Public Health Service Trading Sbeet will a000mpaay each tank &M=d with Im site WendBatios number. <br /> The TtacHng Sheet is to be returned to Public Heard Services Wttbt i 70 telt of acceptance of the tank by the disposal or <br /> MYCling bdlity. The Te:s1t bonier is trspowlbie br ensuring that this form is completed and ratmn & <br /> FACIIITY NAME CAL-TOAST TANK <br /> FACII.TTY ADDRESS: 424 5, TEGNER ROAD, TURLOCK, l,A %381 <br /> TANK ID 0"- I O i J Tank Desaiptloa <br /> tq ff tl.a N.J t.Jf t.f rtt••tltr•tf•Ntba.tq•..H•t1 t..lt Hflff gttf tiq•if H.••at..t•Hq H1f..t,t•Hft.1• <br /> SECTION 2 - To be filled out by tank rqqnoval contractor: <br /> ran <br /> k Removal Contract.—: JAMES J BLITZELL <br /> Addrc liox 30331 a� STOCKTON Zip: <br /> 952 <br /> 13 <br /> P 2c 09 943 7193 Dare Tank Removed I zn`F a <br /> ...........................................•................•.............................................. <br /> SECITON J -To be Dried out by contractor�dematamlaatlag teak': <br /> Tank Daoontsminatha CDn1rnaW-_JAMES J. HOBLITZELL <br /> Box 30331 �^ STOCKTON zip 95113 �— <br /> Pbone ,: t 20% 943 /795 <br /> Autborbed representative of contractor certifying tk mgh slgmtam below that the tank has been decontaminated in an <br /> apprtovcd manner as requbed by Cbl EPA <br /> Slgnatmt^ T7tl= (� <br /> t••..••••r• •t..•tt.fff.Y •rf.ts...1 r r •ttrru••••.rsr•s,fs.ift,ss•tH...,•♦fuuurtarrrfaf.• <br /> SECTION< - To be signed and dated by an aotbortmi representattve of the treatment,storage, or disposal f lcWty <br /> accepting tank and/or pipin& <br /> Facility Namm CAL-COAST TANK <br /> Addres 424 5, TEGNER gty TURLOCK Zip: 95381 <br /> Phone #: ( 20 668 9378 <br /> Date Tank Received: - <br /> Sigustate: Title: <br /> .at•t•srtaafa •tatf.........•............f t,f rrfrarsss•r•••cif..•t•••.t.t.sra,.tttfff.f».fsttff.st•.• <br /> Ea 23 049 /(aevlsed 7-10-92) pace 17_ <br />