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PUBLIC HEAffH SERVICES ,ami <br /> SAN JUAQUIN COUNTY <br /> J061 KILANNA MI),UP 11 '• <br /> Ncalrlr 0111cer <br /> I V "it 2I1v9 • (fGol past ffaretton Avenue) •Stockton, Ulffimnfa 95201 �t06�tI <br /> (209) 469 3400 <br /> UNDERGROUND TANK UISPOSIIION IRAC.K.ING RECORD <br /> /i//•liiiiflfsoft 164006#0000ffffff♦ffi!•ff!!!•RfflRfff•ffffRfffRffffRflflRfRf�RfR1RRflRRRRRRRlffRflRlR•RfRR <br /> SF(-I IoN 1 - Publlc f lenflll Services It n(Mrip Shrel will accrmrlrany each lnnk Affixed with Its site IdenllficaIIon number. The <br /> I farkfnp Sheel Is In be feltrrnCd tri Public I lealih Setvlces w'041I__{�dad of acceplance of Ilse lank by (he dl%posal or recycling <br /> faclfily I he permit bolder Is responsible for ensuring shat rills form Is completed and returned <br /> rAGILl1 Y NAME- INDEPENDENT TRUCKING COMPANY EPA # CAC 000979040 <br /> IW-11,11Y AVhRCSS 1145 W. Charter Way, Stockton , CA 95206 <br /> TANK IU x3'39 - 505406-04 lank Desctiplion- 3,000 gallon diesel �-- <br /> ►00x00000000/f•i•if0f0.Off••iifl•1••••f0f•0fff•fi•f0ffef0fff•fffir•f/!f••00ffRRlfRRRffRffRfRfRRRR1f#RRf!!• <br /> Src_ lTOM 2 10 be filled out by latrk removal contractor <br /> 11111k Rentoval Contraclot, JIM TI IORPE OIL, INC. DBA R I CII-MART CONSTR. <br /> Addresi 351 N. Bec.klnan Rd. , P 0. Box 357 Clry Lodi , CA Zip, 95241 -0357 <br /> Plitme #- ( 209 368--6175 Date lank Removed- October 4, 1994 <br /> +/0/r off•/•f$04$0f0l0f•0offiffffif0000f/lf0fffffRf•fffifff!!!fflf♦!!f!!r!f•RRf!!lRRRRlRRfRlRl�!!RRlRl <br /> �Y:f ION 1 to be filled out by contractor "ciccanfarnfnating lank"- I ' <br /> A Dcconfnminailan Conitnctorr JIM T110RPE OIL_ INC. URA RICII-MART CONSTR./Mor-Cal 0111 <br /> Iau er of r nsate <br /> Address, 351 N. Ileckmarl Rd. , P. 0. Box 357 City- Lodi , CA Zip. 95241 -0351 <br /> I'Irnne # (___?09J 368-6175 <br /> A+flhorired representative or ctmitactor certified fly elgning below that the lank has been decontaminated In an approved <br /> manner as terlulted by the State Del+nroment of I Icalth Services <br /> 5181+al+rrc Title. Vice-President <br /> • 0+ 1• i1 ••0•f 00 f1h0 • 0f••if•1 f0ii*fff0 f•ff•0•••ff•!f•f**• • fl0f0f 000 f ••RffROlRfilR fRlflOf! <br /> yank �5 ��-ee off' all s1•u�ges andlhydrocarbon vapors u�on agnvery o 5'c�i1St,er 5tei <br /> SECTION 4 - io be slgned and crated by an frnllturlred represer tntive o the treatment, storage, or sposal lac f <br /> accepting lank nndlor pllring <br /> I'ncllily Narnc. Schnitzer Steel Products <br /> Adtitew 12000 Folsom Blvd. City- Rancho CordoyZ1p: 95142 <br /> Phone 9 ( 916 ) 985-4810 <br /> Vale Iank Received d <br /> Signature Tilfe- <br />�i••1.0.00.1f•f 1011.0•••*0.11. 1•f f f f!•ff R•f•••flff•RRffffRf lfffRlff Mfflfflf flfflRf MR!!lRfRRRRRRfR <br /> rage 10 <br /> 111 23 049 (Rev 2/8/91) up <br /> 11 brvldnn of Sin JntT+ln t rn+nry IrtsHh C•re SeOvlcti <br />