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JIM T351 OIL, INC. <br /> 351 N. Road <br /> 0. Box <br /> P. 0. Box 357 pczavq <br /> Lodi , California 95241-0357 <br /> (209) 368-0109 or 462-4581 <br /> December 22, 1986 DEC 2 2 198b <br /> ENVIROMENTAL HEALTH <br /> FERMIT/SERVICES <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: Mokelumne Fire Department Phone 369-2913 <br /> Facility address: 8910 E. Hwy 12 , Victor, CA <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 /> 4. Tank # on plot plan Tank Size Products currently or previously stored " <br /> #120 550 Premium Gasoline <br /> 5. Laboratory that will collect soil samples Canonie Engineers _ <br /> A signed "Release of Information Authorization" is attached. <br /> 6. Method of disposal of all residual liquid, solids , or sludges , if applicable: <br /> N/A — <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 at 15 lbs per <br /> 1 ,000 gallons -- <br /> 8. Method of disposal or reuse: tank will be transported to Triangle, Inc. , <br /> 52nd Street, Sacramento for disposal <br />