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JAN-17-2014(FRI) 08: 50 AiNS SERVICES (FRX)14!3 1518 P. 005/006 <br /> RECEIV8[ <br /> UNIFIED PROGRAM CONSOLIDATED FORM FEB 2 6 201 <br /> ILIZARDOUS WASTE <br /> HAZARDOUS WASTE TANK CLOSURE CERTMCATIENVIRONME TAL <br /> NT <br /> Page 1 nt 1 <br /> L FACILITY"IDENTIFICATION <br /> BUSL\'CSS NAME(max.os FACR.ttY NAMEar DBA.Dain gud.v.Act 3' FACILITY IDX I I I I I I I I I I I I I I <br /> I. <br /> THRIFTY OIL CO 0171 1250 N. WILSON WAY, STOCKTON, CA 95205 <br /> TANK OWNER NAME Tan <br /> THRIFTY OIL COMPANY <br /> TANK OWNER ADORIf'"5 741. <br /> 13116 IMPERIAL &IGHWAY <br /> TANK OWNER C" SANTA FE SPRINGS 74=' STATE CA Toa. 'LIPCODL 90670 <br /> IL TANK CLOSURE INFORMATION <br /> 3 Twm u]a Cat a soration of Fuunmahle Vapor Concentration arO,ygen <br /> 31- 0< �Amch."Keal raples <br /> 9A "rmt'p9p ryy wa Top Center Roa-m Top Center Bnnom <br /> TAN}. 743. Tadw ta(6 T,rc. TlT�. 7nih. laic <br /> 114IEmOli 1 00001 Q �y n , 9 . 9 '26r ? •_, <br /> ATMIOSP4IER� 2 00002 7aa. Tta. ince T]rw. [� txm. 9 <br /> READING p� <br /> 3 79. 7.17. 73M. 7]]e T]3a, T776. 753h. <br /> J 734, 7W. IIIb. 7]+c, ta1a. 7]]6_ 7]]h. <br /> 5oSk3 S <br /> 11L CERTIFICATION <br /> On marolmnla t er the tank'cerllry the tank in visuar y free from pneducL sludge,soul.(Ildn,flaky residual of tank eanimn).rlruwlc and debrla.t rather arllry <br /> riot the Into n provided herein Is true and accurate In the tint of my knowledge. <br /> K!G riPiIIt STATUS OR AFF LIATION OP CERTIFYING PERSON <br /> _ CertlRer is a r poa—ntativc of the NPA.authorized agency.or L)A: int <br /> N OF IPl (Pant) 7x. O You No <br /> EHALF OF TAFOTA & ASSOCIATES Name of CUPA,et thntised mean/.or LIA: 761. <br /> TITLE 01'=IFIER t15. NfA <br /> TAPOYA 3 ASSOCIATES, CONTRACTOR itcetlflcrinnilerthan CUIFVLLAalmakapproprlmebox hetar: 7W. <br /> AODRES5 736 [I a. Cenirtad Industrial Hygienist(CIH) <br /> 15471 HEA BARN COURT o h. Cenifled Safety Pro(asslunal(O;P) <br /> CITY 157, D c. CertlOnd Marine Clmmim(CMC) <br /> CHINO HILLS. CA 91709 CJ d. Regiatc,cdEnvimnmenial Health Spretaltut(KEHS) <br /> PHONE 11R ❑ c. Profaseli nal Englnecr(PG) <br /> 909-606-6322 ❑ C. Chu.It Raaldored 6avlrwam,ntal A wasaar <br /> DATE »s. CERTrMCATION'TIME Xr, Comncwn'State kdcetsc Haunt licensed colummr(wlth <br /> haa:dous si tit=removal nerUfettd( nj <br /> TANK PREVIOUSLY ffl Im FLAMMABLE OR COMIBUSI'IBLF.MATERIALS 78J' <br /> (Trym ow tank Itncrim nuam7trca shell Iw tv+iw:ked with a eamMudhl,acs hidlumr prior to watx Mira einnldmad on We tank.) X Yes ❑ No <br /> MR11PIEWS TANK MIANAGWIINT INSTRUCTIONS FOR SCRAP DFW.FR.DLSPOSAL TACI=T Mr- 7u' <br /> SCHNITZER STEEL TANKS/PIPTNG MEET'S TITLE 72 REQUIREMENTS <br /> 1101 EMBARCADERO W_ CRUSH WITH HEAVY EQUIPMENT <br /> OAKLAND, CA 94607 <br /> A nnpy of this ceri1riam shal l accompany the tWlk to the eteyJingldinpnsai I'aclliiy and he provided to the agency ovmcelag tank closure(Int NPA or other <br /> autholiied local ugemy):the amw and/or operator or the Wtd:aterwu:and the mak removal contructar. <br />