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1 <br />fl <br />1 <br />ua;uf,uu 1ilU I i :ui kAA xuu 4tib 1067 <br />09l01L2000 16: 51 9166528` <br />ft <br />JUL-10-2000 MON 10. 35 AGi HL4MACFA1'l-NT0 <br />FORWA" INC. <br />RAH ENVIRGNMENT <br />FAX NO. 915 <br />5533 <br />S,QW 1OAQUW COUNT TY PUBLIC HZ:ALTH SBR'v10ES <br />,SVIRO-MMENTAL HEALTH MVISTOlti <br />[FY>ZERG1iptJ`�A STOR�IG>r rtaN'K 013PoSTTI©N TRACKLNG RECORD <br />PAGE 04 <br />.r.arra Ylrrraaarrf�rw�#+Mr#rraialr�rr'rfwMrwwrrrar.rwa.wrr.ra�wvr••rwr.wrvr.r+rr.a•r•ww+rr.rrar.+rrrarr,. .arw. <br />tny <br />ll tank <br />SECTI()1Y i - psbtic Health she TWC Trta k q 5hecx Is to be re neG o l�ubtic�f?e ht9arVir'cex mp�tun-cal >?c�1 MSD ��swia <br />its site identificaritsn number, <br />,r da"of ;ceeQtaftE of the tank by tha dlspasa: at trcyclittg 'tiity- 'iht permit folder i3 :apt�.onsib':c int• snss�i,g that <br />chis tatl� Is CgpUsle;z and rerUMed. <br />FACILrrY NAMM NIEWA Sllabt pppElt8all Ci}IzP . J� <br />SS.CKT <br />FACILITY wD1757;555: 44 STbCK rice r f trx t +w n K o^ Y <br />. O TANKSIZc:SOQ Gwi.Lb�t <br />PREVIOUS TANK C0N7ENTS: 4 <br />WANK ID 439 +.c,k 'K ac:j4 C'yMrr+�}.rraM�i'r4aa#Y►#^YMwr.rw..MMwwwrrawrawriraw0+r+yrr+r►►r•..rr rrrsirrrrfrs+• <br />r*i...*Owl Mrrar*arc*Ir•k+ *** <br />SFCTIOI4 2 - To be titled aur by clink remavai cont acsor: <br />Tara RrtrioNal C'cettst:4or: >RdH v <br />I�9 <br />37 4 YZ t3 <br />City: r Q=TS ZIP. G 5fiso <br />Address: <br />7 <br />Pisan I: (_ .) =B9 Hate 7a * Removed: <br />ita�rrwiiwaMtaNlw+r#r+awr.ilrTW+Y+Yrrfr.a/*isMir.aMha=rw*rw*w*r.r IS <br />rrras*Ma*rr**r+aaw■*wr*+..rasrrrwa.r.w.arr <br />$ECRON 3 •',�o be rill" cut by oantracear "decatstass+inaling tank": <br />Tank 0ee11staminttion CadtractorE <br />Addtesa: I �- <br />Phasta Xt (91ti—J <br />Kct#tarized rapaesentattve bf con:rsetar =VYittg through slgnavure be[aw -hit etre tank has bean deconwnintitrd '.r. an appravcd <br />MAAMr as requ'lrcd by Ca[ EPA - <br />Name, t lila: <br />Signa[uPs: � tete <br />1a0®2 <br />.r+*r.w*#*•ai'iYiwMUNi�*rriiwfr=�f�'M �Yirf ./*wRrrr.Nii�iia**r*w wf*rMw*alp aA****0arc*F;w r** a ricer y■fr a*A.r*.ar <br />SECTION 4 - To be signed and dated by an wAheriaea repse+en4altve of the [reasrtsect, storeCCr et dispsadl f*c;iity <br />a�ecsptlst,:.�tie�ic aW'o(r tp1116IZl <br />• <br />Name: C oF'l�Fl - rj. <br />Fat 11ty G Je! Q <br />Addr>a"= f 92 <br />?bona 11. ( <br />veee YanC Raaatva/d: �% G ! i z , [J /a <br />�_^/ ) <br />TItie: <br />0ararr*iirr*s+aitraYlMt'riww'rrVol .M0Mawa�rr'r'w#a'rr.ar+—++.rra..+rw.ww.rrwa.tir.raf*rraar*rarrrr�rr.rra.f.=r— <br />tszrl 73 046 (uavbei 08/ 13M) <br />Pa`- to <br />