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UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD <br /> ♦iiiii4i#f*44ii#iif4#44####fR4#4!#•4R*f•###•#!#!•If♦!!R#RfRlf#!!!R#•4!#/f#!•!!4#####44###R4!#!#•#!R!##!#f#4 <br /> Srt1CI0N I - Public Ilealth Services Tracking Sheet will accompany each lank affixed with Its site identification number. <br /> The Tracking Sheet is to be returned to Public Health Services within 30 dos of acceptance of the tank by the disposal or <br /> recycling facility. The permit holder is responsible for ensuring that this form Is completed and returned. <br /> i,ACILI.1Y NAME: Teresi Trucking <br /> FACILITY ADDRESS: 900 1/2 E. Victor Rd Lodi CA 95240. <br /> TANK ID #39 - 17 7 Tank Description:ANN~ --� <br /> +i iii!!!*!*tt!♦a*isii#!!f1!!!#1!lR1tR!#t#t##tt#/t1##If!###i1f!###!f###**f#*t######!#!R#•#!#!!#####4f♦!####! <br /> SPUTION 2 - To be filled out by tank removal contractor; <br /> Tank Removal Contractor: JIM 'I'IIORPE OIL INC. <br /> Address: 351 N. BECKMAN RD. / P.O. BOX 357 City: LODI, Zip: <br /> _9524 l-Q357 <br /> Phone #: ( 209 ) 368--6175 Date Tank Removed: S� <br /> i•#i iliai•aiiiii if#i1#11#4###►##R#•ti#i#!#####i#!ii#!ft!#R#fRR#fR###!4#fR#!f#!4#!4#!#4######R#####4!##R#4## <br /> SFUMON 3 - To be filled out by conttactor "decontaminating tank": <br /> Tank Decontaminntlon Contractor: J1M THORPE OIL INC. <br /> Address: P.O. BOX 357 City: LORI Zlp:,952-41-0157 -- <br /> Phone #: (209 368-6175 <br /> Atttliotized rr.presettlative (if contractor certifying thttrugh signature below that the tank has been decontaminated in an <br /> approved manner as required by Cal EPA. <br /> Signature: _ -__ _ Title: PRESSIDENT _ <br /> f4 ii <br /> tAn, a PIp n% are Tree , j1 y slues aXI I Irgarbop vapors u�o degtigPwsptssoals6h�l�zer steel . <br /> SECT ON 4 - �'u a signed and date by an nu torize rep esen n ve o tite reatme ora , <br /> accepting tank anti/or piping. <br /> facility Name: Schnitzer Steel Products <br /> Address: 12000 Folsom Blvd. city: Rancho Cordova Zip: 95742 <br /> Phone #: ( 916 ) 985-4810 f <br /> Date 'Tank Received: lg J <br /> Signature: sa/_Lf{ Title: <br /> ER 23 049 (Revised 7.10.92) Page 10 <br />