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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD <br />SITE N[1R 7 <br />******* N 1 **Public Health Services Environmental Health Division Tank Tracking Sheet shall accompany*each tank affixed *** <br />SECTIOblic permit holder is responsible for <br />with its site identification number. The Tank Tracking disposal or recyclingfacility-Thep Health Seryices Environmental Heal <br />Division within of acceptance of the tank completed and rertnned• by P <br />ensuring FART OF STOCKTON EPA # CAL 000041551 <br />FACILITY NAME: CA 95203 <br />2201 1VESr WASHINGTON STREET, STMEN <br />FACILITY ADDR!✓�iS: GASOLINE <br />TANK ID #39 - TANK SIZE: t <br />ai 250 1000 G PREVIOUS TANK CONTENTS: <br />SECTION 2 - To be filled out by tank removal contractor: <br />JIM THORPE OIL, INC: <br />Tank Removal Contractor: <br />351 N. Beckman Rd., P. O. Box 357 <br />Lodi, CA Zip: 95241-0357 <br />Ciry:� <br />Phone N: <br />Log_) 368-6175 Date Tank Removed: Jan 5 1999 <br />SECTION 3 - To be filled out by contractor "decontaminating tank": <br />Tank Decontamination Contractor: JIM THORPE OIL,' INC. <br />city: Lodi CA _Zip: 95241-0357 <br />Address: 351 N. Beckman Rd., P. 0. Box 357 <br />Phone: (209 ) 368-6175 <br />Authorized representative of contractor certifying through signature below that the tank has been decontaminated in an approved <br />manner as required by Cal EPA. Date 1/4/99 <br />Tide: VP Signature: <br />Name: Martin Thorpe y <br />*y***f re***f *aT1 sl `�•{• e --and <br />� <br />4 _ Foie signed anY e� by an <br />accepting tank and/or piping. <br />Faciliry Name: SCHNITZER STEEL PRC <br />Address: 12000 Folsom Blvd. <br />Phone t(: ( 916 ) 985-4810 <br />Date Tank Received: S {{ <br />J� Title: 1 <br />Name: Il c 6 <br />E23 046 (Revised 9/11/96) <br />J � e <br />4y.5 <br />offer <br />(jncho Cordova, CA Zip: 95742 <br />t,n <br />Page 10 A- <br />