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SAN 10AQL'L`I COiLN= PLBLIC HEALTH SERVICES <br /> 'ti'IRONI. M-VMHEALTH Dry ISION <br /> L-NBERGROL-�,m-STORAGE T-kNK DISPOSITION TR-iCtijG RECORD <br /> ............................-......_>..._.__..______.>.c.......>_._>...........a1 accocpan;+ each tank ai :ed wit. <br /> SECTION 1 - P biic Health Ser;ices Eavi:enmeatai Fieaith Dir._ien Tank Tack: Sheet s^ <br /> is site idenr...caticr, au :ee:. Tae Taws Tack ns Sheet s to ✓ re^'uraac,.lir/ .z He-mitt holders [esxnsiel for a sur:=g -`at <br /> within 30 days of acce?=ce of[he tans by :he disposai or reryc.v., : P <br /> :his form is -cmcleted and res..Med. <br /> FACII ITY <br /> San Tomo Partners Pa CAC 002132609 <br /> NAME: <br /> 11291 N Alpine Rd. , Stockton , CA 95212 <br /> FACILITY ADDRESS: <br /> TA:v:C ID ;39 - TA'+i{ SIZE; 000 gal ..•ICtiS TAVK CONTEV TS: <br /> Jet Fuel <br /> ..............=........=.......=..........................=...................... <br /> SECTION '_ -To be "-I,ed out by tank removal contnr_or: <br /> TancRe,icvalCantactor: Jim Thorpe Oil , Inc . <br /> Address: <br /> P.O. Bos 357 Cir;: Lodi ,CA Zlo:95241-0357 <br /> Phone 209 368-6175 Date Tank Removed: <br /> .............. .>. >.._....._...>..........._... <br /> SECTION 3 - To be [tiled our by contractor "decontaminating tank": <br /> In <br /> Tank Deccsaminaticr . Corr_ac:cr <br /> _.: Thorpe 011 , c <br /> Address: <br /> P.O. Bos 357 Cirv: Lodi , CA 952•=1-0357 <br /> Phcne ;: r 209 36S-6175 <br /> Aathor ed e<_zaWt:ve of aonu_c'or :Lrough sio^ature beiew at we :a baS eon decoIItummated m 1II 1rnrCyed <br /> mance: as required by Cal EFA. <br /> Varve: <br /> Richard Thorpe Tae: Contractor Si=an::e: Dare <br /> � <br /> ,{������� hh <br /> ,T�a3��� 1 free=of dal l� sl�dq�syanan aur�ioc°mar on a�gn es -URP1le3.,4.i ercYagt°of�`Spcls zE cUi ;eel>...._ <br /> 'sr 11V >•i - i q be s[°�s�e�aL are a__ <br /> ac^'^t:.na tank and.'cr Piping. <br /> Fac'1iNName: Sc`nit Zer .S-teel Products <br /> DoT c Cir;: Ranc:^o Ccrdo'Z-; CA 9573° <br /> Address:'_2000 Fol B- - <br /> F':cnz R: t 9161 S,85-1810 <br /> Date T' Re2ceived: II r :e"Va <br /> le <br /> Va^e: T:[!e: <br /> FH __ 134t 10,19,98' Pace :C <br />