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SANJOt oL1LV COUNTY PLBLIC HEALTH SERVICES <br /> ,,�ONNIZ-q-TAI.HEALTH DIVISION <br /> LN'DERGROL ID STORAGE TXNK DISPOSITION TR4CE� <br /> ....»>ii> <br /> RECORD <br /> >iii ».iiiii>#>ii <br /> » » <br /> SECTION>I - Pubiic Health Services >ces EnvironmentalHealdiiDivision Tank Tracking Sheet sail accompany each tank a'...'e.. w:t,. <br /> is site ideart:cation cumber. The Tank Tracking Sheet is to be returned to Public Health Services Eavirtmmental F:ealuh Dn iviFte <br /> within 30 days of acceptance of the auk by the disposal or recyciing facfirv . The permit holder is respcnstioie for ensuring. at <br /> this form is ccmcleted and rec—ed. <br /> San Tomo Partners T-pa CAC 002132609 <br /> FACILITY NAM_: <br /> 11291 N Alpine Rd. , Stockton , CA 95212 <br /> FACILITY .ADDRESS: <br /> TANTO ID ,4-° - TANK SIZE: F O L 'a p?2EvICUS TANK CONTE`ITS: o + � r ��� ne <br /> »iii........V..................fi#ii#iiia...##iii#>i#ii.......iii##i»>iaiii.......iii##>i#iiii»i>a».iii <br /> SECTION '_ • To be 51led out by tank removal contractor: <br /> Tank RemovalCcncac:or: Jim Thorpe Oil , Inc . <br /> P.O. Bos 357 City: Lodi ,CA Zip:95241-0357 <br /> Address: <br /> Phone ;: ( 209 368-6175 Date Tank Removed: <br /> . i>i>i.i>i>.iii..iii..iai..ai#ii.i.i>.ii>...iiia>.>i>i>i...i.aii>ii>i.i> <br /> SECTION :•Tobe `tiled out by contractor "decontaminating tank": <br /> Tank Decontamiamn Contractor: Jirl TA.crpe Oil , Inc . <br /> Address: P.O. Box357 <br /> City: Lodi , CA Zip: 95241-0351 <br /> Phone .;: r 209 1 368-6175 <br /> Authorized representative of contractor ceifying through sig^ature below that the ta[k acs been decontaminated in an approved <br /> manner as required by Cal EPA. <br /> ,Name: <br /> Richard ThorpeTile: Contractor Signature: Dare___ <br /> .......i.......m.......iia#iifiia..........i.....# <br /> SECTIONi4 -To be signed and dated by an authorized representative of the treatment, storage, or disposal iaclir <br /> accept:^., tank and,'er piping. <br /> Faqir-4N=.--- Schnitzer Steel Products <br /> Address:12000 Folsom Blvd. City: Rancho Cordol�p; CA 957`- <br /> Phone ( 916, 985-4310 <br /> Date Tank Received: <br /> tle: SiP amu: Date_ <br /> .... e........................T............>iii.i......................................>..i.a.».....i>. <br /> EH -1-- Qsh Revsec :0/19i98) <br /> Page 10 <br />