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SAN JOA JOIN COIINI'V PVnl,IC IIEALT'II SRRVICRSS <br /> IMMONMENPAL IIBALT-II DIVISION <br /> UNDERGROUND STORAGE TANK DISpOs1-f1ON TRACKING RECORD <br /> 011+11111♦1/HM11111♦+1MI MIN Mh1hIHMH1♦1111 H1♦MM+h/HINM/#1}###►###►►I►#NMI►1I►►IN111111111111 <br /> 9RC'I'ION I 1'nb11c health Selvlceq nnvhonnmmnl Ilealth Division Tank Trackhrg Sheet Thal) sceempany eeek Unk afllaed <br /> wldm Its sire. Itrill Illcarloo number, the Tank Trucking Sheer is m be renuned to pnbllc IWith Services Eevlronlnentil llsallk <br /> Dlvleinn 101111130 days of arrrprnnce of the, rank by the disposal or recycling faclliry. The permll bolder is respo0slble for <br /> eusarbmg dint lids lmnm Is completed *fill tetarned. <br /> I:AClL11Y NAMI?:Lincoln Unified Maintainence Yard IM'.A. pltaiFla CAL 000049384 <br /> I'ACILI I Y ADDgp.S.9: 6749 Harrisburg Place. Stockton. CA 95207 <br /> TANK ID #39 - j "12 -G ZfANK SII E: 10,000 ga11oR1aGVIOUS TANK CONTENTS: leaded gasoline <br /> 1111.1♦11144♦14++H1♦/++♦hH+MI111+♦+++MN+H}/+++NII IIHI/I/MMI/M/#N#}#f►►###MINI►�N►NIIIIIf11► <br /> SECT ION t - To be tilled not by lank removal contractor: <br /> Truk genitival Conrrncttrr. Jlar Thorpe Oil, lrrc <br /> Addre.es:_ _31_t N, Becknrarr lid./1'.0. Box 35! Chy: Lodi, CA Zip: 95241-0357 <br /> I'hnne ►: ( 2U9 ) 366-61'!5 Date Tank Removed: <br /> 1 H 1♦H 4I♦4♦14 M+IHMh♦MIh+1++11+++1+1+111111MHM1N•N}I}++111/1}#MNN►#N#►#N1#I►►►►►I►11►►111IINI <br /> 5rCTION J - To he nlled out by contractor "decontaminating tank": <br /> Tmmk Demmmnhmarimm conancmr. Jim Thorpe 011, lnc. <br /> Addrrsr: 351 Il. Ueclanan 11ll./I'.0. Box 357 City: Locll? CA Zip:95241-0357 <br /> 1111 time / ( 2U9 ) 360-6175 <br /> Ambml7rd rrprescnlMive of contractor certifying thraagh signature below that fire tank has been decorrimlosted In W approved <br /> mm11ner at rcqulred by Cal EPA. <br /> Ilanfe Title: Signature: Date <br /> / 411 ♦ I+4 }+}+111 1♦♦ ♦ /h ++}+♦h# + Ih }}+Ih} }}M#}}}1/#♦ }I##}} + ►#}#►► ♦# I ► ►►►11 ►111 1111111 , <br /> 1 al+(C s tree 0111, pdy��y aif 1}y(1�o argon va�rors 1i�,on lie f fiver g�o "y ni4 r <br /> S@t:' to '4 4 - fn be tied and Baler an aul ins ze re resenla lye of 1 e Irealrnent, sto a e, or poral ficll ty <br /> accrpting limit and/or piping. <br /> I'nclllly Nnme:_ Schnl.l_zet' Steel I'VOtI"cl-S <br /> tZODU fblsoln Blvd. Ilcnmcho Cordova? CA ' <br /> Addfeer:_____ City: Zip: 95742 <br /> 916 ) 985-4610 <br /> Dare lank Received: <br /> Nome lTde: Signature: DNe <br /> M/N♦411♦h+1#h H1II H+hIh+}N+++++MHII+111++11MIIM HIM+M111+M++++}/}###1#1#►►►►►NNNII►►►ININI <br /> t?II 21046 (11evked 9/11/96) page 10 <br /> j <br /> I � <br />