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UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD lNtHtltfy!!Rt!!t•tltlffttNM♦!R#!##♦tHR#lMNR##!ff#!##HfHf#!♦#R#ttl�ff #!!f H!!llf Ntt#t!#RHHM#tM SECTION I - Public Ileatth Services Tracking Sheet will accompany each tank affixed with Its site identification number. The Tracking Sheet is to be returned to Public Health Services within 30 days of acceptance of the tank by the disposal or recycling facility. The permit holder Is responsible for ensuring that this form is completed and returned. FACILITY NAME: Teresi Trucking FACILITY )00 1/2 E. Victor Rd Lodi, CA TANK ID #39 - J-7-1-7-1 Tank Description: HHtf♦!f!!Hf#}!#!#Rltf#!#t##tMlfl♦t!ltHf>flRNNtltf###ttt-tttltf#!#!tt!!lttlf MRl RA RRY R!#t1MHt!!!!!ff SECI'ION 2 - To be Tilled out by tank removal contractor: Tank Removal Contractor: JIM THORPE OIL, INC. Address: 351 N. BECKMAN RD. / P.O. BOX 357 City: LODI, / Zip: 95241-0357 Picone #: ( 209 ) 368-6175 Date Tank Removed: /a-// 19,5 SECTION 3 - To he filled out by contractor "decontaminating lank": Tank Decontamination Contractor: JIM T11ORPE OIL. INC. Address: P.O. BOX 357 City: LODI Zip: 95241_02 Phone #: ( 209 368-6175 Authorized representative of contractor certifying through signature below that the tank has been decontaminated in an approved manner as required by Cal EPA. Signature: Title: PRESIDENT 1A !♦ ##%##,+##f!!R## ##t R!# !!!!!!!#!!+!!#!t!#>t!f#!#!!#!#fR!####!!#>####R#R!f!f!f##!f##f!!f#Rf#f#t1#!f# Yank I pip n%are Free �l� slud�es axd hAdrocarboi va�gr u�o da �i�� sp al zer Steel. SECTION 4 - �o a signed and Sate by an au norize rep sentn ve o the r ar&e or 1% , accepting tank and/or piping. Facility Name: Schnitzer Steel Products 12000 Folsom Blvd. Phone #:1 916 1 985-4810 Date Tank Received:-121��1g f city: Rancho Cordova Zip: 95742 Title: !#l+s+++l++##!##!!#!##!#♦+♦!!#!#!:♦!#!!+##f>!!##!###t#######!R#####+###+♦+t#!#!!#!t##!f!!!fflt###fRlff♦♦ ER 23 049 (Revised 7-10-92) Page 10