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PUBLIC HEALTH SER CES <br /> PU =: <br /> SAN JOAQUIN COUNTY a: <br /> JOGI KHANNA M.D.M H. <br /> health Oifial <br /> P.O. Box 2009 • (1601 East 1lazelton Avenue) • Stockton. Canton-"9"o1 <br /> (2o9)468-3400 CORD <br /> UNDERGROUND TANK DISPOSITION TRACKING RE <br /> each INCixed with Its site identification number. The <br /> k affixed <br /> •••..•..•...•••i••••••••••••••••••••••••••••••••••••••••.•••••••••••••••••••••••••••••••••••••u••••••••.• <br /> SECTION I • Public Health Services Tracking Sheet will accompany <br /> thin 30 day2j <br /> ce of the <br /> Tracking Sheet 1s to a returned to nibble for ensuringrtha Itbis completed el tedtand returnedk by rite disposal or recycl ug <br /> facility. The permit <br /> holder Is FACILITY NAME: Port of Stockton <br /> FACILITY ppDRESS: 2201 Washington St. Stockton Calif. 95201 <br /> 21- 2,000 gal. regular gasoline <br /> TANK ID #39 - Z 1 C Tank Descripilon: <br /> To be Oiled out by iremoval contractor: <br /> SECTION 2 - <br /> Jim <br /> Thorpe Oil Inc./ DBA Rich-Mart Construction <br /> Tank Removal Contractor: Cit Lodi zip: 95241-0357 <br /> Address:P° Bx. 357 /351 N- Beckman Rd. Y' <br /> 368-6175 Date Tank Removed: <br /> Phone #: 209 ) <br /> •••••••••••••t•••••••••••••••COIIIfaCIOf 'decontaminatin •tank'••••••••••„••••.••••••••••••••••••••....••.••••• <br /> SECTION 3 . to be filled out Uy Jim Thorpe Ail nc. /DBA Rich-Mart Construction <br /> Tank peconlaminaUI <br /> on Contractor. <br /> Po. Bx. 357/351 N. <br /> Beckman Rd. City: Lod_._i zip: 95241-0357 <br /> Address: <br /> Phone #: ( 209 368-61 <br /> Authorized represenbal'he Statve Of enDepartment of HeaUh Serving ces below that the lank has been decontaminated In all approved <br /> manner as required y Title: <br /> Signature: and hydarbon vapors upon delivery **060*60*009 <br /> to Schnitzer Steel . <br /> Tank is free of a 1 sludg <br /> �"��",,,••,•••••signed and dated by an authorized representative of the IreaUnent•aorage, or disposal facility <br /> ♦•"•, <br /> 004*00 <br /> SECTION 4 • To be g <br /> ecceJp�lillpQ tank and/or piping. <br /> Facility Name: SCC1ni zer Steel Products <br /> City: esRancha zip' 9567--�— <br /> Address: 12000 Folsom Blvd. <br /> Phone #: 4810) 985-4810 <br /> pate Tank Received: Title: <br /> Signature: <br /> page 10 <br /> IN 23 049 04v 2/8/90 MP A Dtdslm Of Un Jozq"I"County Ilohh Cut krvlcc• J <br />