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SAN JO^`JUIN COUNTY PUBLIC HEALTH SERVI^FS yOJIRONMENTAL HEALTH DIVISION LNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD SECTION 1 - Ptbiic Health Services Environmental Health Division Tank Tracking Sheet shall accompany each tank aff xed with its site identification number. The Tank Tracking Sheet is to be returned to Public Health Services Environmental Health Division within 30 days of 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: m San Too Partners Epi CAC 002132609 FACILITY ADDRESS: 11291 N Alpine Rd. , Stockton , CA 95212 41000 ga1MVIOUS TANK CONTENTS: Jet Fuel TANK ID#39 - TANK SIZE: SECTION 3 -To be filled out by tank removal contractor: Tank Removal Contractor: Jim Thorpe Oil , Inc . Address: P.O. Box 357 City: Lodi ,CA Zip:95241-0357 Phone #: ( 209 ) 368-6175 Date Tank Removed: »zzw>....»==>x#..x..x=###x#>.>xz#xw...x>w.w.#wx»x#=z=.x#x=w=.##•__*......... SECTION 3 - To be filled out by contractor "decontaminating tank": Tank Decontamination Contractor: Jirt Thorpe Oil , Inc . Address: P.O. Bos 357 City: Lodi , CA Zip: 95241-0357 Phone y: ( 209 ) 368-6175 Authorized representative of contractor certifying through signature below that the tank has been decontaminated in an approved manner as required by Cal EPA. Name: Richard Thorpe Tide: Contractor Signature: Date_ SECTION 4- To be signed and dated by an authorizPd representative of the treatment, storage,.or disposal facility accepting tank and/or piping. Facility Name: Schnitzer Steel Products Address:1 2 0 0 0 Folsom Blvd. City: Rancho Cordo'Zip; CA 95742 Phone #: ( 916' 985-4810 Date Tank Received: Name: Title: Signature: Date__ >...w...... EH 23 046 (Revised 10/19/98) Page 10