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SAN JO`QUIN COUNTY PUBLIC HEALTH SERVICES <br /> ..,.VIRONMLN+TAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK DISPOSITION TRACXlr�G RECORD <br /> SECTION 1 - Public Health Services Environmental Health Division Tank Tracking Sheet shall accompany each tank affxed with <br /> its site identification number. The Tank Tracking Sheet is to be ren[rned to Public Health Services Environmental Health Division <br /> within 30 days of acceptance of the tank by the disposal or recycling facility. The permit holder is responsible for ensuring that <br /> this form is completed and remmed. <br /> FACILITY N.-MME: San Tomo Partners EPA _CAC 002132609 <br /> FACILITY ADDRESS: 11291 N Alpine Rd. , Stockton, CA 95212 <br /> TANK ID X39 - TANK SIZE: 4 ,000 ga'PREVIOUS TANK CONTENTS: <br /> Jet Fuel <br /> ####i###ixii#a*###a**#*a*ix#i}i#ii##i#*#i##}i#i#i##ii#}*##}###ii####i####xii#}i###}##ii##i##iii#iii#######.* <br /> SECTION 2 -To be filled out by tank removal contractor: <br /> Tank Removal Contractor: Jim Thorpe Oil , Inc. <br /> Address: P.O. Box 357 City: L^odi,CA Zicpy:95241-0357 <br /> Phone #: ( 209 ) 368-6175 Date Tank Removed: / , '�tJyq �1 1 <br /> aiia##ii#*##ix##}ii#i*#a###*i}####iia#ii###}i}i*xii###x#a###aziixaz*a:a##}#zia}i}#i#:i#ii#z}i*aia}#a1 <br /> iizxzza , <br /> SECTION 3 - To be filled out by contractor "decontaminating tank": <br /> Tank Decontamination Contractor: Jim Thorpe Oil , Inc . <br /> Address: P.O. Bos 357 City: Lodi , CA Zin; 95241-0357 <br /> Phone #: ( 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: <br /> Richard Thorpe Title: Contractor Signature: E, G Date <br /> i#ii}ii#ix##*i#*iai#iix*#iaa*ii#i}#*i*i#ixi##aaa#*aa**##aiiii#ai##i###i##}i#iizsxiii# <br /> TT��nn�� {r e ofe s. al11 sduld�elso and t drocg Pon v�,4?[�s i{RPR AP[l�ty sCo`� gtpo �S t,�g�' eel . <br /> lank-SEVTI8§ S- e o ,al an a y an au onze re resen a of a [, a o s cilltV <br /> accepting tank and'or piping. <br /> Facility Name: Schnitzer Steel Products <br /> Address:1 2 0 0 0 Folsom Blvd. City: Rancho Cord0Zip; CA 95742 <br /> Phone 9161985-4810 <br /> Date T Received: L I <br /> Name: Dr✓c f Title: !/e°G ��ff lSignamre: Dace <br /> .azax*#*azi#ix#i#*ixi**ii*}*###x*#*.'.#xis#ii*xi##*#*}iiii}***#a#:a*#i#ani#xi#xi#*###aii} <br /> EH 1-3 016 (Revised 10/19/98) Page 10 <br />