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a <br />02/08/2007 11:40 FAX <br />0 is <br />ENVIRONMENTAL; HEAL' <br />SAN JOAQUIN CI <br />Telophano:(309)40-3430 Fail <br />IINDBROkoUNDSTORAGE'TANXDISPOST <br />SECTION 1 - SJC hnviromnanaal Hath Daparumnl'e Tank Tracklap V <br />idmillia Minn number. The Tack Tracking Some, Is to be mined Is Ne <br />nocci :. of roc Ionic by du dbpal a..ecregag facility 'Me pa,ale <br />comm 1pled and rammed, <br />FACILITY ADDM9:_ l Q N. mar <br />TANK ID x79- QL—"TANXSr FL <br />................................................... <br />.......................................... <br />SECTION 3 - To be filled oul by tank ramo.al contr/�ctor�l <br />Trek naapad c...,...wr:_ T1rllOV1 Voll, <br />Phone r: il ) LA I- -sqq j Dae Tank Removal <br />....................................a.....w............ ., <br />SECTION 3 - to be filled qa by eaperseto��r++"deyeontanduatln= teak": <br />Tank Dneuaeadhiaafn Cneuanoe Q(:. <br />Pbena M:(lam-l)Com(a,�) -�l-1 1' _. <br />A¢IhereeW teQfatalam[i.a of oodaeaor WIfli ¢ rhadtlah gigaamra bese,e <br />manner as raquil by Cal EPA. <br />Nmnc: �]mnk T y11/P'!`a.G* KMJ .Tfllc�t t7_ SV <br />a..u..f�a.k..ales.i#we.i#•#kaffl.paaxa.lra.�lns.+#f..+.+lej+} <br />S$CTTON 11- Tobe Ved ral pa i y an dulloriatized sefrt?aentaflva al <br />1'eolnq Nem/ai� <br />�N'l-%)n 1.1m fMA wl¢ <br />phone F: 01 V] .'J"J r"'I .....T -s <br />Dow Tank RaoN•aa: la Ito/D6_ _ <br />I'I T kA <br />Nall JQ d l e. C,k� C + TIJa, <br />.....r......... ............. W..I..........I..... <br />DEP <br />9) 468.3-033 <br />TRACKING RECORD <br />pall accompany each lank affil <br />nlneelal Hal Dopndmeol w tld <br />:r 'e ro.pomibl. roe enswing ova, <br />I <br />all <br />M8 Q, <br />lack hies bog{ damntlminnhd id w approved <br />amralcl or disposal facility <br />Al U 0a6 (Rculsed 1121;06) <br />I <br />ikC .1' <br />1a 002/002 <br />