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SAN JOTV COONTY PUBLIC HEALTH SERVICE <br /> ONNjJENTAL HEALTH DID-ISION <br /> UNDERGROUND STORAGE TA.`rK DISPOSITION TRACXING RECORD <br /> F=.- <br /> ...................;...;.........;..>.....;...;.......................;.».............>.......... <br /> SECTION 1 - Pubiic Health Serrces Environmental Health Division Tank Tra6dng Sheet shall accompany each tank aff:.:ed with <br /> is site ideaaftcaron number. Tee Tank Trac-i 2 She:, is to be returned to Pubiic Health Services Environmental Health Division <br /> within 30 days of acceptance of the tank by the disposal or recycling facility. Tae permit holder is resporsibie for ensue-ag:hat <br /> this form is coracle:ed and rettuaed. <br /> FACII.ITY NAME: <br /> Central California Traction Company FPA _ CAC 002106440 <br /> FACILITY ADDR-755: 1645 Cherokee Rd. , Stockton, CA 95205 <br /> TANK ID .,39 - ,,7 -D7�-T,�LNK SIZE: /000 Cr PREVIOUS T._k`fK CON TENTS: DtP!Z, <br /> >.......................................................................................................... <br /> SECTION 2 - To be tilled out by tank removal contractor: <br /> Tank RemovalContrac:or: Jim Thorpe Oil , Inc . <br /> Address: P.O. Box 357 City: Lodi , CA Zinc 95241-0357 <br /> Phone #: ( 209 ) 368-6175 Date Tank Removed: <br /> .......................................a..................v............................................. <br /> .. <br /> SECTION 3 - To be tilled out by contractor "decontaminating tank": <br /> Tank Decontamination Contractor: Jim Thorpe Oil , Inc . <br /> Address: P.O. Box 357 Ciry: Lodi , CA Zin: 95231-0357 <br /> Phcne X: ( 209 ) 368-6175 <br /> Authorized representative of contractor certifying tbrouTh signature be!ow that the tank has been decontaminated :n an aooroved <br /> manner as re.uired by Cal EPA. <br /> Name: Tide: Contractor Signature: Dare <br /> ................>..».......................................>..................................>.>......... <br /> SECTION 4 - To be si=ed and dated by as authorized representative of the catrtent. storage, or disposal facliry <br /> accepting tank and/or piping. <br /> Facility Name: Schnitzer Steel Products <br /> Address:12000 Folsom Blvd. City: Rancho Cordo D; CA 95742_ <br /> Phone ;,: ( 916' 985-4810 <br /> Date Tank Received: <br /> Name: Title: Signature: Dace <br /> ...................a.i...............z;......z..................................>.>............. <br /> ..i....az <br /> EH 23 016 (Revised 10/19(98) Page 10 <br />