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TANK CLOSURE Cc4TIF!CATIC14 FORM <br /> lip ! <br /> FS I I �'CI <br /> SUSiNEW NAME I ' <br /> Central California Traction Co. o <br /> aITE +pC0.E4a <br /> 1645 Cherokee Rd. <br /> MINESS::r Stockton, CA <br /> TANK p6ii>4ME iW <br /> Central California Traction Co. <br /> Sat <br /> TANK:wNEa ACCREaS <br /> 1645 Cherokee Rd. <br /> V ATE <br /> TANK mEic: <br /> Stockton, <br /> ICA I 95205 <br /> 11 TANIK r ncl I c lNFmPMAZrtl <br /> L Tank x Fammacle'/aodr Cxygen <br /> (State Tank Ci if applicabie) Too Center °ottcm cc j Canter 3attcm <br /> Tank Interior <br /> Atmoscnere <br /> Readings <br /> i <br /> 111 <br /> aP7 <br /> On examination of the tank,I certify the tank is visualh/free from prcdUCL sludge.scale thin.laky residual of tank Ccrtenai,rinseate and dins. I harrier Mr.* <br /> that:he information provided herein is true and accurate to the best of my knowledge. ! <br /> GRTIF!ER SIGNATURE I STATUS CR AFFL!ATICN OF CE RT1F lNG PERSON <br /> CERTIFIER NAME kFRiN-ri� sce Richard Thorpe Certifier is a representative of the CUPA/LLA: 'IES Q NO <br /> CERTIFIER TITh sm <br /> Name of CUPA/L!A <br /> ACCRESS ,.f certifier Is omer than CUP.A/L:A citeca appropriate Cox below: <br /> CiTyT.nrlL Camflea Incustral Hvgiemst(C:H) <br /> PHONE _ n <br /> CATS C <br /> ERTIF D sm CERTIFICATION TIME Certfiea Safety Prdfessianal(CSF) <br /> `-' candied Marne Chemist(CMC) <br /> Registered=mmonmenal Health Specialist(RE:'S) <br /> P.mfessicnal Engineer(PE) <br /> Crass II Registered Environmental Assessor <br /> g CSL3 licensed contractor(w;tM rinamous substance ceradcate) <br /> ILA yes ❑ No This tank previously held lammacle or combustible materials. �f yes.the ank:mentor atmaspnere snail.e ns-::neck wdr a ComousaCle gas <br /> indicator prior to wcm being conducted on the tank. <br /> i Cermers tans management insauetons rdr sego dealer,disposal facility.em: <br /> l <br /> I I <br /> A Copy cr•his uimficate shall acoomoany he'ank to the recyame,.is,rsal faciaty. <br />