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V � 1 <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD <br /> •++++#++}##+++r}aa•ar•a#a#!+####a#4!#1ata+wl4}}#a#!r#lararw!#♦!}}}}!##!##4#!!♦#!rt#rtrt##rt##rtrtr#rtr#Art###rN### <br /> SFC'TTON I - Public Health Services Environmental Health Division Tank Tracking Sheet shall accompany each tank affixed <br /> with its site identification number. The Tank Tracking Sheet is to be returned to Public Health Services Environmental Health <br /> Division within 30 days of acceptance of the tank by the disposal or recycling facility. The permit holder is responsible for <br /> ensuring that this form is completed and returned. <br /> FACILITY NAME: Tuff Boy Trailers E.P.A. f1XUX CAL 000035904 <br /> FACILITY ADDRESS: 5151 Almondwood, Manteca, CA 95337 <br /> TANK ID #39 - TANK SIZE: 1100 gaPREVIOUS TANK CONTENTS: unl esde l gasoline <br /> aaaa*ar*ar+#arra#a•r####a##tart}rt•/#w#}#r#r#!}#!+##4##44}#a##}iw}#a}r♦w!}##tw+a!#4!rt#a####!rt#!##!r##!!#rt### <br /> SECTION 2 - To be filled out by tank removal contractor: <br /> Tank Removal Contractor: Jim Thorpe Oil Inc. <br /> Address: 351 N. Beckman Rd./P.O. Box 357 City: Lodi, CA Zip: 95241-0357 <br /> Phone A: ( 209 ) 368-6175 Date Tank Removed: <br /> +*rtrt#a+###rr##ar#aaaar##i!!•!•*##4r!##*#T!#ria!}aa#!a•###}4ai}#r}##!!###r!##!rt!}#######rt#4#rt###4#######r# <br /> SECTION 3 - To be Filled out by contractor "decontaminating tank": <br /> Tank Decontamination Contractor: Jim Thorpe Oil, Inc. <br /> Address: 351 N. Beckman Rd./P.O. Box 357 City; Lodi, CA Zip;95241-0357 <br /> Phone p: ( 209 ) 368-6175 <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: Title: Signature: Date <br /> as#+ ra#*+# r •w #* #•##### # }+ !•+a}} ###a#r#!!##r+r##}}# ! #r#a!#! <br /> lrariRals #tee o#ra'Y1 sludges an hy�rocar6on vapors upon deliver to Sc�hnit �r. Stee3 . <br /> SECTION 4 - To be signed and dated by - authorized representative of the treatment, sto age, or rspos acilhty <br /> accepting tank and/or piping. <br /> Facility Name: Schnitzer Steel Products <br /> Rancho Cordova, CA <br /> Address: 12000 Folsom Blvd. City; Zip: 95742 <br /> Phone b: ( 916 ) 985-4810 <br /> Date Tank Received: <br /> Name: <br /> Title: Signature: Date <br /> lirasSar*###r#++a#rrra}a#•#4arr##a•####!•+air##+ra#rlarra#+w}a#+Ori#4•##w!+!!r!##ir#44!##4}#!4!i#!!#!##r♦ <br /> EH 23 046 (Revised 9/11/96) Page 10 <br />