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0 0 <br /> Jim Thorpe oil , Inc. <br /> 351 N. Beckman Road * P.O. Box 357 • Lodi, CA 95241 <br /> (209) 368-6175 0 (209) 462-4581 <br /> b <br /> Contractor's License #495699 <br /> (,s, S t4 April 16 , 1987 <br /> San Joaquin Local Health District <br /> 1601 E. Hazelton Avenue <br /> P. 0. Box 2009 <br /> Stockton , CA 95201 <br /> Re: Permanent Closure/Tank Removal Plans <br /> 1 . Owner/Operator: Mar Val Food Stores _ Phone 369-3611f_ <br /> Facility address: 429 W. Lock.eford Street , Lodi , CA -- <br /> 2. <br /> 2. Parcel plot plan showing tank(s) to be removed attached. <br /> 3. Contractor Name: JIM THORPE OIL, INC. <br /> Contractor Classification: A <br /> Contractor License Number: 495699 <br /> Certificate of workers ' compensation insurance on file in your office. <br /> tr. <br /> Tank—# on plot plan Tank Size Products currently or previously stored <br /> 232 500 Unleaded Gasoline <br /> 233 250 Regular Gasoline — <br /> 5. Laboratory that will collect soil samples Canonie Environmental <br /> A signed "Release of Information Authorization" is attached. <br /> 6. Method of disposal of all residual liquid, solids , or sludges , if applicable: <br /> Tanks are empty _ <br /> 7. The tanks will be purged of all flammable vapors to preclude explosion or to <br /> levels specified by existing regulations by inserting dry ice @ 15 lbs. per <br /> 1 ,000 gallons — — _-- <br /> 8. Method of disposal or reuse: tanks will be taken to 816 Lucas, Lodi for <br /> reuse as above ground diesel storage � _._ _-- <br />