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SA„OAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENNIRONMENTAL HEALTH DIVISION <br />UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD <br />SECTION 1 - Pubiic Health Services Environmental Health Division Tank Tracking Sheet shall accompany each tank affixed with <br />its site identification number. The Tank Tracking Sheet is to be returned to Fubiic Health Services Environmental Health Division <br />within 30 days of acceptance of the tank by the disposal or recycling facility. The permit holder is responsible for ensttrngat th <br />this form is completed and returned. <br />FACILITYNAME: Air Port Way Lube Center <br />EPA :CAL 000112867 <br />FACILITY ADDRESS: 442 N. Air Port Way, Stockton, CA 95205 <br />TANK ID439 - TANK SIZE: 1000 gal pREVIOUS TANK CONTENTS: Waste Oil <br />*a#»*#*......M#M#*M»*iM**MM*a*#»*#MM#**»»*#»»*»*********#*.*MM.*.M*.........a*MMM»#**M»*#.*#M.**M*....... <br />#a <br />SECTION 2 - To be filled out by tank removal contractor: <br />Tank Removal Contractor: Jim Thorpe Oil, Inc. <br />Address: P.O. Box 357 <br />Phone X: ( 209 ) 368-6175 Date Tank Removed: <br />City:_ Lodi, CA Zip: 95241-09,57 <br />*M*M###M#......*M*MM#*#*MM*#MM#**#***####MMMM**M**M**##zMi#*#*##**MM*#MM#M*.MMM <br />SECTION 3 - To be filled out by contractor "decontaminating tank": <br />Tank Decontamination <br />P.O. Box 357 <br />Phone X: ( 209 ) 368-6175 <br />Jim Thorpe Oil, Inc. <br />City; Lodi, CA Zip; 95241-0357 <br />Authorized representative of contractor certifying through signature below that the tank has been decontaminated in an approved <br />manner as required by Cal EPA. <br />Name: <br />Title: Contractor <br />Signature: Date <br />SECTION 4 - To be signed and dated by an authorized representative of the treatment, storage, or disposal facility <br />accenting tank and/or piping. <br />Facility Name: Schnitzer Steel Products <br />Address:12000 Folsom Blvd. City: Rancho Cordogt; CA 95742 <br />Phone R: ( 916) 985-4810 <br />Date Tank <br />Name: <br />Title: <br />EH 23 0?6 (Revised 10/19/98) Page 10 <br />Date <br />