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:ln(3 11 <br /> NORTH CAL CONSTRUCTION <br /> TAMC TRACING CHART <br /> FACILITY NAME: ✓a <br /> FACILITY ADDRESS: <br /> TANK ID SIZE OF TAMC /10. FD f� <br /> ■+■t++++++++t+at} aaattatata+aatatatraaarrrr+ataaraaaaaatarrarrrnaattarrtaaraaaaaataat <br /> SECTION - 2 - to be filled out by tank removal contractor: <br /> TAMC REMOVAL CONTRACTOR:' <br /> ADRESS: i' STATE�_ZIP CODE <br /> TELEPHONE: uQ1 ) l F7 ` DATE TANG REMOVED: <br /> ++++tt++t+atttt+rrrar+ar+raarawaraitrtrtrrrarararrararrtrarrraarararattaarrrwrasatatrar <br /> SECTION - 3 - to be filled out by contractor "decontaminating tank": <br /> TANG DECONTAMINATION CONTRACTOR:�a� <br /> ADDRESS: < �cz—feel� STATEE_ZIP CODE al <br /> TELEPHONE: <br /> Authorized representative of contractor certifies by signing below that the tank has been <br /> decontaminated in an approved wanner as may be regulated by Depar t of Heal Services. <br /> +++++++**+t++a+tatattfa raaaataaa+ta r+attataaaatraaaaraaarraaa* raararat+ TLE <br /> SECTION - 4 - to be filled out and signed by an authorized representative of the <br /> treatment, storage or disposal facility accepting tank. <br /> FACILITY NAME: <br /> ADDRESS: / 3��/ p�Y� STATE.c,� ZIP CODE <br /> SIZE TANG RECEIVED: <br /> ■t+tart+ttatrattrttat■ta++rtraraaat raaaratD+;aCrrMt*INRE AND a eTCC rrtrtraratrttata+rata <br /> APR g o 1989 <br /> FERiViI i S i2ViCES`TH <br />