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11/03J2006 09:24 4855497 • <br /> DCS INC • PAGE 02 <br /> Lice un Lib u83b'7421 ,!n v tn6tneerans 8188423760 p. 8 <br /> ENVIRONMENTAL HEALTH DEPAR'T'MENT <br /> SAN JOAQUIN COUNTY <br /> Telephone-. (209)468-3420 Fax;(209)468-3433 <br /> UNDERGROUND 9TORAQg TANK DLSPOSMON TRACKING RECORD <br /> •.Yv M.Ya...w.wwR.11YY4...r uw.ne....*.r..s..Y.....r.*Yw..e/4........r e...................r..a..Noe.e.r; <br /> 58CTSOIV 1 -fir a#NiT maeoul Hnllh Dep0t9tnmt'a Taw 1'taollus lib=t mall accompany each tank Amxad m(h ill site <br /> idoetifjoation numba. Tao Tank Tracldog Sheet i3 to b c returned to ax En.tronatental Aealib Dapy?r=t wathinji) days of <br /> accepuom of the mac by ilia dimsal a recycling hHUTy. The permit belch it meptmt,31c for cmwilV,. tbat lha rbrm n <br /> completad and temmned. <br /> FACILFTY NAME: -V.a.t E TZG7 <br /> FACI7.lTY�TIDRFSS: �,�.)41O N ln1 5T i,�larJ?r Cp, C.A /' ,...,/ <br /> TANr ED*39 50� S i� T.1TaK 9t.?Er11-4,(� j• --MOUS TANK CO n-Eh,M, <br /> ..va..1.................(../i1w.t.Mn}w.n...p..YAn........................................t................. <br /> . <br /> 27CTION 2-To ba 611ed out by tnnk remev.l cower.dt.r. <br /> Tack Rartw.el Coranctor: tTOTJ GP N$-: <br /> Addmu ZS Zot0 �i0�(IIEl--A11E _ _C�h:�ttl t C.�VZ Zip: `�1Se62- <br /> phaaa ft: �31 l 15 Poi 41 Da a Tnnk F.nm•ed <br /> .y <br /> ................................u...................0..........w.gw.w........w..u........v............. <br /> b,EcmoN3-To bo flicd out by enntrxtter"EKentamill imtve tank f ,1 <br /> ..-•,jTo5k Docabo" tion cllutaeor• Ott- CA a O 66429n N b W,,Rq t t t . �`,7'ylk`/� <br /> Atkkesal 323&– N. VhwRK`S hdc <br /> phum#--(55,q 1 Anc=x.,015 ..—.. .. <br /> Authrntzed sepm3cmedw of aon"cw mm11)jn`tbcough aigtmcuw bal0w ghat dq k umituled;n nn approFed <br /> tnatmnu mquitea by Cal CPA: <br /> Natne:fit,t. <br /> 9na111WO 4 Tido DaTo11.02.06 <br /> ....... .....................................».................. ..:,..,a,......r...................... <br /> SECfTON 4.To he afgtxM and dated by an nttthotiaed tgarosmtati�e of dtt C'CatrrcOOL¢torbge,o;IUtpo3at faeilib <br /> xccpungmarkand(orpiping. - <br /> F.eility Nam Cr <br /> Add,ma: Z 3-5 P A W a-QQ clw 121041 V cNp zap; qg 8 a I <br /> Phone x:L51!s ) <br /> Dale Tank Received: <br /> Nome:._ Ytle: a:idaalv.e: D.tc <br /> .HtrIN'1 N u.T..}O nYAHN....IYFO.M.N.11..N..1.r.R.M.gMYI....fH••••.N YnwH.Ye.............f..ya l• <br /> E14 23 046 (kMaedMnll) Id <br /> 01 'd 096E24,9918 a3uTueouT11u3 ?d d a9ti= TT 9D 10 ^olu <br />