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SAY JOAQUIN COLNTY FUBLIC KEALTH SERVICES <br /> ENVIROX-NIL IT.A.L HEALTH DIVISION <br /> UNDERGROUND STORAGE TANS DISPOSITION TRACXING RECORD <br /> NTYTYT.arww+YV Ta++T+wfifYMMwwMTffw#!%wwMMlli>'t%+a.#MY+rtRw%yR.iiwTa>MWYYYTyNNw+T+%%Y»}aTwaaYrtfYWYfiM2#YiW.fw. <br /> SECTION t -Public Health Services Environmental Health Division Tank Tracking Sheet shall aaepmpany each tank affixed wit <br /> its sir!den*Ross:on nuraber. "he Ta k Tr�ag Sheet is to be returned to Public Haaldt Services Enviruanenia! Healh Divisica <br /> wugn 30 s of accentance of the tank by the disposal or recycliag facility. The permit holder is responsible for enuring thx <br /> this:brm is completed and retunea. <br /> FACILITYNAME; Solari Clements Ranch EPA#1 CAC 0022SO593 <br /> FACILITY ADDRESS: 17815 N. Hwy 88,Lockeford, CA 95237 <br /> -.aNK ID X39- O7 ��SANK SIZE: <br /> 10 ,000 PREVIOUS TANK CON ENTS: Diesel. <br /> f IYw%iii#yTf>i+T+Tw YNYM}aYT%TWT.!>.ywY YYfYAI>YNY+k%+4f+M YY+:Yi++W ff+YYirtiii+!.!1%aff FYiwaiTYia N+r.+.Y+aw+YW rTniN>w <br /> SECTION 2-To be fil>cd out by tank removal contractor: <br /> –ankRemcralCoa[ractorr Jim Thorpe Oil , Inc. <br /> Address: P.O. Box 357 Cln: Lodi, Zip: 95241-0357 <br /> 209 368-6175 <br /> ?hone�: (_, Daze Tank Removed: <br /> .a%rW%•iWMauiwMW>wx%T++wrfT.v.+fa.:»TTT>Na>i+%+Y...•T>«++Y•+T%P'>}aaaaaT+wfi}T+.vwwa.Tw#www+YWfT%T%T.Y.YM W. <br /> SECTION 3-To be filled out by contractor "decontaminating tank": <br /> Taak Decontamination Con actor: Jim Thorpe Oil , Inc. <br /> Address. P.O. Box 357 City Lodi . CA—ZiD; a 2,A1—n0,5v <br /> 209 368-6175 <br /> Au-lnort=d represeatative of contractor ccrifying d=u.h sigaature below &..at the tank lias been decontaminated u an approved <br /> t=aro--as required by Cal EPA. <br /> Name; Richard Thorpe Title: Contractor Sigaarure: Date 7n��nin� <br /> •iWi.Y>%#f MYfW+++wlTfiiY%wwl!YMT>+".aTf#f#+rT>i+Y.+%M>tfu..rtwTralwyi+r.a+fns+w%:Fwwwfi>+Nw+fw+i+%wf#fTfWwiTsf. <br /> SECTION 4-To be signed arA dated by an authorized represcatative of the treatment, storage. or disposal facility <br /> accep itiZ tarp andlor piping. <br /> Schnitzer Steel Products <br /> Facility Name: <br /> Rancho Cordova, CA 95742 <br /> 12000 Folsom Blvd. City. Zip: <br /> Andress: <br /> ?honey: t 916 ) 985-4810 <br /> Date Tank Received: <br /> Name. <br /> Title: Sign=re. Dare_ <br /> .. ......r:i+itiy!>r+i#rtYrTiii}Ywliw>wNpTYT#...yN+++a+++WAN.Yaa.>W+rtTw}+.x:w.+MM.w....iiYY.YwTT.+xf Y>i:+Y>r.• <br /> 'eH 2- 046 (R--iised 08113!99) Page 10 <br />