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i UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD STsCI'ION l - Public I Iealth Services Tracking Sheet will accompany each lank affixed with Its site Identification number. 1'he Tracking Sheet Is to be returned to Public Health Services within 30 days or acceptance of the tank by the disposal or recycling facility. The permit holder is responsible for ensuring that this form Is completed and returned. FACILITY NAME: Corral Hollow Sanitary Landfill FACILITY ADDRESS: Corral Hollow Rd. Tracy, CA P TANK ID #39 - Tank Description. 1600 gallon diesel fuel SP0ION Z - To be filled out by tank removal contractor: Tank Removal Contractor: JIM THORPE OIL INC. Address: 351 N BECKMAN RU / P.O. BOX 357 City: LOUT Zip: 45741-0-151 Phone #: (_?09 ) 368-6175 Date Tank Removed: Slu,"VION 3 - To be filled out by contractor "decontaminating tank": 'rank Decontamination Contractor: JIM THORPE OIL INC. Address: P.O. BOX 357 — City: LODT Zip: 9r,24111157 Phonc #: ( 209 _) 368-6175 Tank and piping free of all sludges and vapor upon delivery to Schnitzer Steel. Authorized teptescatative of contractor cer(ifying through signature below that the tank has been decontaminated in an approved manner as required by Cal EPA. Signature: Title: - PRE.SIDFNT ######f#•#,•###••.#rr••••••••••••••u••u•r#.••,•r+,•,f••r••rr,r•••,•u•aa,•„,r•,,,,•,,,►•+r„•*rrr,•„•••-- SECI'ION 4 - To be signed and dated by sit authorized representntive.of the treatment,storage, or disposal facility accepting lank and/or piping. Facility Name: Schnitzer Steel Products City: Rancho Cordova Zip: 95742 Address: 12000 Folsom Blvd Phone #: ( 916 ) 985-4810 Date Tank Received: Signature: —Title: }#!#}#Iff#!}••#!••#lIIH,#f##!!#11#11#RIt#1!!11##f>t##It#lltlf##f,•!f###!!f#!ff#f##,#,f••••#•••,####,•#f EN 23 049 (Revised 7-10-92) Page 10