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• SAN JOAQL-LN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRON-MENTAL HEALTH DIVISION <br /> L-NDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD <br /> SECTION 1- Public Health Services Environmental Health Division Tank Tracking Sheet shall accompany each tank affixed with <br /> its site identification number. The Tank Tracking Sheet is to be returned 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 returned. <br /> FACILITYNANIE: Marjorie Dinneen <br /> FACILITY ADDRESS: 14230E Baker Road Linden CA 45946 <br /> TANK ID 4%9 - EXEMPT TANK SIZE: 550 PREVIOUS TANK CONTENTS: Heating Oil <br /> SECTION 2 -To be tilled out by tank removal contractor: <br /> Tank Removal Contractor: JIM THORPE OIL, INC. <br /> Address: 677 E. Lockeford St. P. 0. Bax 357 City: I ndi CA Zip: 95241-0357 <br /> Phone#: (209 ) 368-6175 Date Tank Removed: Cpptamhar 19 20Q7 <br /> SECTION 3 -To be filled out by contractor "decontaminating tank": <br /> Tank Decontamination Contractor: JIM THORPE OIL INC. <br /> Address: 677 E. Lockeford St. , P. 0. Box 357 City: Lodi . CA_ Zip: 95241-0357 <br /> Phone#: ( 209 ) 368-6175 <br /> Authorized representative of contractor certifying through signature below that the tank h been o aced in an approved <br /> manner as required by Cal EPA. <br /> Name: Martin Thorpe Title: VP Signanirree- Date 9/12/01 <br /> # #i### ###### # ## # ##### <br /> T#an*c 1 s free off" a� s �u eSS an hyydrocaarbon va�lgrs laon t�t1p seri Ms�aaprac§iif el <br /> SECTION 3 -To be signed and Nted by an an hortzed represen a ive o e tr <br /> accepting tank and/or piping. <br /> Facility Name: Schnitzer Steel Products <br /> Rancho Cordova, CA <br /> Address: 12000 Folsom Blvd. City: Zip: 95742 <br /> Phone#: ( 916 ) 985-4810 <br /> Date Tank Received: <br /> Name Signature: Date <br /> EH 23 046 (Revised 08/13/99) Page 10 <br />