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NORTH AL <br />C OMS T�'�`i UCTiO Prore: rrnp rht Ervirnnrner* <br />F. 0, Box 585' Srockton, CA 95201 2091465-5866 Ccnvral Eng-'neerrnp C?ass A License No. 505704 <br />19E,8 <br />P[Pij�-NENT CLOSURE TANK RLMOVAL <br />1. 0 W N E R: MONTGOMERY WARDS <br />PACIFIC & ROBINHOOD <br />STOCKTON, CA <br />2. NAME OF CONTRACTOR: North Cal Construction <br />License X505704 <br />License Certification "A" General <br />Engineering and Certification <br />of Workmen's Compensation <br />Insurance - on file with county. <br />3. TYPE OF TANKS: � Composition - STEEL <br />S i z e: 1, 000 GALLON <br />4. SOIL SAVPLES: Canonie Laboratory, Stockton. CA. <br />Rele�-e of Information Authorization <br />attached. <br />5 . Disposal of Residue: GALIFORNIA. OIL, RECYCLERS <br />6. Purged with dry Ice O $15.00/1b. per 1,000 gallon. <br />7. Tavik Disposal: TRIANGLE INC, SACRATENOT. CAL <br />8. Receipts: Receipts of tank disposal to be submitted within <br />30 days (if delivery. <br />g, 48 Hour notice to county prior to gullirg tarkS- <br />Ihomas D. Frank <br />Esty�,atnr <br />I <br />