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• JIM THORPE DIE , Inc. SAN JOA <br /> 351 N. Beckman Rodd QUIN LOCAL HEALTH DISTRICT <br /> P. 0. Box 357 1601 E. Hazelton Ave.-Phone : 466-618 <br /> Lodi , California 95241-0357P-0• Boa 2009 Stockton, Ca. 9520 <br /> (209) 368-0109 <br /> Approved <br /> — J ulY 31 , 1966 0 Approved with o'-an?es : Se-- Remark <br /> ❑ Disapproved; See R---=ails <br /> San Joaquin Local Health District Remarks ty 51f0u> ( <br /> 1601 E. Hazelton Avenue <br /> P. 0. Box 2009 Dste]E� �v nY <br /> Stockton, CA 95201 Approval of ti-ese plans extends c. <br /> Re: Permanent Closure/Tank Removal Plans that w!.ioh is Lho.rn and cescribed <br /> on but does not authorize or apt,rove <br /> 1 . Owner/Operator: Pacific Meta Corp any <br /> —— ° � n ° 0 }` 95!9a2nf regp1re- <br /> - -mnrts-of 7r�cIinancee <br /> .local <br /> Facility address: 18776 East "B" Street, Clements, 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 /> +16 55 <br /> #17 1 ,000 Diesel <br /> 5. Laboratory that will collect soil samples Can <br /> onie 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 @. 15 lbs. per <br /> 1 ,000 gallons into each tank. <br /> 8. Method of disposal or reuse: Tanks are to be reused by owners of property <br /> for aboveground farm implement fuel storage. <br />