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f <br /> t <br /> SAN JOAQUIN COUN'I-V PUDLIC DRAM SF.RVICFS <br /> FNVIRONMENTAL IIFALTIi DIVISION <br /> UNDERGROUND STORAGE TANK DISPOSI-TiON TRACKING RECORD <br /> H!+!!!+l Hr♦N♦M H!♦+###M•#r►+#lHN++rM!!#♦N###NM►♦M##NN►►►##r1►NNIHii+♦♦►#Hi►♦►114♦i1►i►►►► <br /> SECTION I - Public ilenith Services Environmental ilealth Division Tank Tracking Sheet shall accompany each lank affixed <br /> with Its site Identification number. The Tank 'Tracking Sheet Is to be returned In public llealth Services Environmental flesith <br /> Divlslon nilldn_JO-Jnvp of acceptnnce of the tank by Ute disposal or recycling facility. The permit holder Is responsible for <br /> ensuring that this loin Is completed and returned. <br /> FACILITY NAME: Cal Tank Lines, Inc. L.P.A. # CAD 004771606 <br /> FACILITY ADDRESS: 3105 S. El Dorado St . , Stockton, CA 95206 <br /> DANK ID #39 - TANK SIZE:10,000 gal PREVIOUS TANK CONTENTS: Diesel Fuel <br /> ,a as a a!a♦a a w a#+rra a!####+N+##►+►rr#►#!##M+H###►#r#►♦#HH►HHri#iiiili►NIIIINii111IINIff11NIIIIIII <br /> SFCIION I - 1'o be filled out by tank removal contractor: <br /> lank Removal Contrncmr: Jlm TIK)I'pe 011, Inc. <br /> Addness: 351 N. Beckman Rd./P.0. Ilox 357 City: Lodi, CA Zip: 95241-0357 <br /> Phone�: ( 2UQ_) 360-6175 Date Tank Removed: <br /> l.alaaalaa!!!♦l+++#r!!#!!r##+#+#rr+ala♦a!!!!►i##►#i►♦##r#ri#4ir#♦►1♦i►iiiiiiitilliilf►♦♦+iilriilF►i►Iiiiiii <br /> SFC TION 3 - To he filled out by contractor "decontaminating tank': <br /> lank Decornnoduatlon Contractor: Jim Thorpe 0110 Inc. <br /> Adrhem 351 N. Beckman Rd./P.0. Box 357 City: Lodi, CA ZIp:95241-0357 <br /> Phone I: ( 209 ) 368-6175 <br /> Mnhoitrd representadve of contractor certifying through signatme below that the taok has been decontaminated in an approved <br /> manner as required by Cal EPA. <br /> Name. Title: Signature: Date <br /> lank`is`fiee'ofi'a'Y�+sl`uu+dye's an bon vapors gonid'ef�'ver�i�o���in�It��'r1��ee3�"**** <br /> SEC' TON 4 - lb be signed and Aated 6y an sur tnr ze represenla Ire of 1 e treatment, ste age, m aptsa acil <br /> accepting lank and/or piping. <br /> Pnc1111y Nmne: Schnit.zer SLeel Pt xlucLs <br /> 12000 fblsan Blvd. Rancho Cordova, CA <br /> Address:_ City: ZIP: 95742 <br /> phone 1: ( 916_) 9115-48 10 <br /> Date Tank Received: <br /> Manta: __ Titie: Signature: Date <br /> I H♦a++++#++a a a a H+H N+++++#i+l4#H##++M#♦r#++##♦+#+#++++►r#f q N►Hri 1#i Niiiiii44i1i1►►IIi111i111A1?* <br /> Ell 21 046 (Revised 9/11/96) Page 10 <br /> I <br /> i <br />