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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMEN'T'AL HEALTH DIVISION UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD SECTION I - P,rblic Health Services Environmental Ilealth Division Tank Tracking Sheet shall accompany each tank affixed Willi its site identification number. The Tank Tracking Sheet is to be returned to Public Ilealth Services Environmental Health Division 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. rACILI`CY NAME: The Port of Stockton E.P.A. # CAL 000041551 FACILITY ADDRESS: 2201 W. Washington St., Stockton, CA 95203 TANK ID b39 - — TANK SIZE: 12,000 gals. PREVIOUS TANK CONTENTS: Diesel Fuel SECTION 2 - To be filled out by tank removal contractor: Tank Removal Contractor. Jim Thorpe oil Ittc. Address: 351 N. Beckman 11d./P.O. Box 357 City: Lodi, CA Zip: 95241-0357 Phone a: (20_) 366-6175 Date Tank Removed: SECTION 3 - To be filled out by contractor "decontaminating tank" - Tank Decontamination Contractor. Jim Thorpe Oil, Inc. Address: 351 N. Beckman Rd./P.O. Box 357 City: Lodi, CA Zip: 95241-0357 Phone a: ( 209 ) 3613-6175 Anthorimd representative of contractor certifying through signature below that the tank has been decontaminated In an approved manner as required by Cal EPA. Name Title: Signature: pate, ra*n*k *1'+S* free o a'+'t t vages ani �**yIro arbon vapors upon de 11 veryy -co �nl t r tee SECTION 4 - To be signed and dated by an authiorize� representative of tiie treatment, stoiage, or disposa ac il ty accepting tank and/or piping. Facility Name: Schnitzer Steel Products Address: 12000 Folsom Blvd. Phone N: ( 916 ) 905-4810 Date Tank Received: Name: Title: iiattcho Cordova, CA City: Zip: 95742 Signature: Date EII 23 046 (Revised 9/11/96) Page 10