Laserfiche WebLink
SA.`I JOAQL'LN COUNTY PUBLIC HEALTH SERVICES <br /> vNIRONMEN"TAL. HEALTH DIVISION <br /> LNDERGROCND STORAGE TANK DISPOSITION T1LXCS=4G RECORD <br /> #ayl a»a»......#aaa#a##'1.#aa>.#aaaf>###aa>#. ..>.a..}##}.a}a....»­­*.... ......... <br /> a # *.#>###ia}a#a}a.........a#>a a..... <br /> SECTION 1 - P•abiic Health Services Eaviretnnental Health Division Tanc Trac.'cing Sheet shall accompany each tank a '.:ed w:G; <br /> its site identittcar:on number. The Tank Track:n_ Sheet is to be returned to Pibi:c Health Services Eavirorrtnental Health Divisicr. <br /> within 30 dans of acceptance of the tank by he d sposal or recycling fac1rv. T.ae permit holder s respensioie for ensuring that <br /> this form is come_leted and :etu=ed. <br /> San Tomo Partners Epa QAC 002132609 <br /> FACILITY NkNIE: <br /> FACILITY ADDRESS: <br /> 11291 N Alpine Rd. , Stockton , CA 95212 <br /> TANK ID .,'.9 . TANK SIZE: F 000 ga 1PREVIOL-S TANK CONTENTS: o +; , �ne <br /> ##>.a.#..a>........>....a....................>}a...a..............................a.........#.............. <br /> SECTION 2 - To be Pilled out by tank removal contractor: <br /> Tank Removal Contractor: Jim Thorpe Oil , Inc . <br /> Address: P.O. Box 357 City: Lodi ,CA Zip:95241-0357 <br /> Phone : ( 209 368-6175 Date Tanis Remcved:_ � <br /> ................................................>...........>......................a.....................» <br /> SECTION ' -To be :died out by contractor "decontaminating tank": <br /> Tar's Deccntaminaticn Contractor. Jinn Thorpe Oil , Inc . <br /> Address: P.O. Bots 357 Cirv: Lodi , CA Zio: 95241-0357 <br /> Phcae .g: ( 209 l 36S-617:1 <br /> Authorized :eareseatative of contrctor ce-ifving throuTh 34-.:=e below Char the tank has been decourarnanated in an aectcved <br /> manner as reeui:ed by Cal EPA. <br /> Name: Richard Thorpe Title: Contractor Sienature: Date <br /> .....># ..... <br /> TT nnkk.......... o---f aXT>sI'M......es anYN'd..car�ion'vvapors'upon'dM,Wv r'y o"5c�ini zer"$tees:` <br /> S CI'Ib -t - t o be signed and dated by an authorized reprzsentative of`.e seat ear. srorage, or disposal facliry <br /> accept-g tank and/or piping. <br /> Faclirq Name: S'cl rnitzer Steel Products <br /> Address:12'00 Folsom Blvd. Cirv: Rancho CordoZ�p; C1 95712 _ <br /> Phone 9161 985-4810 <br /> Date Tanis R!cte ved: ZZ <br /> Name: <br /> Z Tide: 13 Gz r ce— Si?ar_ Dare Z2 <br /> c^.I ' Oa 6 Revisecl0/i9/981 Pa = IC <br /> -- <br />