Laserfiche WebLink
05/21/2001 14:53 6689382 DOLORES BAPTISTA PAGE 01 <br /> SAN JOAQUTPI COUNTY pGBLIC HEALTH SMVICrS <br /> ENVIROMAKYrAL HEALTH DIVISION <br /> UNDERGAOUND STORAGE TANK DL5?MTION TRACING RECORD <br /> brrY#rtartwawrw###rtrtrwwrarwaaaaaarwr�yMyM►MyyMyryr�i#a#»vaa MFYYqupcMM#rarwMMw <br /> SECTION T - Public Heahh Sand Envum=tal Health Division Tank Tracking Shea shall accompany each tank a8iced <br /> with its sue:dmuficanon number. The Tank T-.=kwg Sheet u ro be m=med w Public Health Sauces Envuvnmentai Heatrh <br /> Division wfthtn 30 days of accertamx of the rmk by dre ditpmsi or recycling fsclity. The permit Ldder i+ mQoanble for <br /> easntmg that this form is aunglem d and remmed- <br /> FAcajTyNAME: Rosenthal Bu*ldinq – Rosenthal Trust <br /> FACILiTYADDRESS: 24 South American StrPPt� 'STockton CA aS2e4 <br /> TANK M #39 - �- TANK SIZE: Soo PREVIOUS TANK CONTENTS: Waste Oil <br /> wan»»tar.rt»�MyM»MrMMM�gMrMMlw++wMwMertfMrW iFMiMYrMAMMMMMwMMiMgM»M»+»+»»»».'aarrrtrM+war»#rtaaarMa#Iv..a» <br /> SECTION 2 - To be filled out by taelt ranovsi rnancaetor. <br /> Tank AemovaiCoutractor Advanced Geo Environmental inc <br /> Address: 4005 North Wilson Way Cin,. Stockton Zip: 95203 <br /> Phone k (_� 955 — 0601 Date Tank Remved <br /> .rrtrtrrtrt+«»s..a»sa..w.a+�taM+.rwt*•►wM,w.rM.+w »Ma�raaaa+aa,�aaa»*s.a+ran.�mxwMMwMM+wrrMwrM.wMwn.wwrtr <br /> SECTION 3 - To be filled out by ewfimctor "deeantamiaating tank <br /> Tank Decontamination Camracmr Advanced Geo Environemtnal <br /> Address: 4005 North Wilson Way Clcy- Stockton Zip: 95205 <br /> 467-1006 <br /> Phone <br /> Authorized:eptesmracive of mnaacftw -" "i the uguAn=bedew that the ream bas bees d=Ow=mated is an approved <br /> manner as requited by Cal EPA_ <br /> Na=; William LittlMde; Ce>n1 ngi ct Sigooatre: Date 01 <br /> wrMrMwrwMMMr.�Mrtrr�w++o•rtrtartwwas"asw*r»#M»ssara»a=r#aaaa##aedrws»Mr#rrMM»+.rnw +a+' <br /> SECTION 4 - To be signed and dated by an andwhied teptesmtative of the trc =fiat.storage, of disposal bcr7lty <br /> acaptuig tonic and/or piping- <br /> Facility N—: <br /> iping-Faa7ityName: west Coast Equipoment <br /> Address: Ro Box 2368 _ City: Turlock Zip: 95381 <br /> 668-9378 <br /> Date Tactic Rexrived: S "� r <br /> Name: Jg,,,f Tule: signature: <br /> wea»#a»ssw srMMMMrwrtMMrM7wMrprsMr»+.anrrMpMM»Mraaaaw»aa#asaaaaaasaaaa»##1MMrrYURMariaM++MrMaaaaa#aaarMr►r <br /> Eli 23 046 (Revised 9/11/96) Page 10 <br />