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- :.• sir .�c�.�tJ1 rt a�oc�r. �-�,r��r>t-I sar sem=car�XN�3 rTC <br /> UNEURGROM TANK DISPOSITION TRACKIN3 REX= <br /> ARARRlffAARRAlRlAARlRARARR**AARAAAAR!lARA**fAtglARRAAlARA*ARlCRAAtARRARRARAfRAlAd@RtRR10fRt <br /> X�,L;�ILON 1 - The San Joaquin Local health District's Tracking Oheat will accov Iny each tank <br /> atL,xmd vith Its site identification nu bar. Tha Tracking Sheet Is to be returned to Sari <br /> Joaquin Local Health District within 30 days of aiaceptance of the tank by diespo5al or <br /> recywling facility. The_holder-fLtC_rcgmlty1Lb ngstmr notad_belnw is 1re1s2=1h1C fnr- <br /> rur_ing tML this fgm is gmlatad gods xatMi1ed, <br /> FACILITY KW. NnRmAr. i g. <br /> FACILITY ADDEms-. 6215 Tam O'Shanter, Stockton, CA <br /> TAM IO 139- ��5�-G� EPA Site H CAC 000180845 <br /> ARRARR*RRRARAR!*t*BRRRRARAlARfR!!R*ttRAAARR*AA*ApRAtRARARRR*A!#ARR#AlRAlAARlpflflARffAfRRRf <br /> OWTION - 2 - To be filled out by tank removal contractor: <br /> 714nk Resaovs l Contractor. dIff-1-HORPE OIL, INC. <br /> 351 N. Beckman Roe <br /> Address: P. O.Box 357, Lodi CA Zip: 55241-0357 <br /> II Phooel: 09 368-6 <br /> 1ble:phot : ( ) Date Tanx Rasmved. "71{I:-1�`� <br /> ARRA*R9RARffAlRA*RRRtRR#R*A*AAR**RRA**RA#*RR*RR*ARAlfRRRit*f*tRlRR!l11R lRRRlAt!!AlRt#!!tl4t! <br /> 3110 TION 3 -To be filled out by contractor "decontaminating tank": <br /> Tw* Decontauination" Oontractor: JIM THORPE OIL / Nor-Cal , Hauler of Rinsate <br /> .. 807 E. Black Diamond, Lodi, CA Z!P; 95240 <br /> 2 368-61/5 <br /> Authorized representative of contractor certifies by signing below that the tank has been <br /> %oontanInated in an approved manner as may be regulated by Depurtaent of filth Services. <br /> 7 <br /> SIGKA7= AND TITI.B <br /> - etAR!*!$lRAR*R!t*!A*A#A#RltR*AAAf*AARRRR#AARtfARAtAlA*ARfgRgRR*f***R*A*RA*RRRAARAAARAMRAAt* <br /> T :7rlC)V 4 - Tb be filled out and signed by an authorized reepresnatative of the treatsssent, <br /> storage, or disposal facility accepting tank, <br /> 71cility Nage <br /> ECRNITZER STEEL PRODUCTS Cu. <br /> u 12000 FOLSOM EILVD. <br /> Adrew: _ mNr-Hn rrnDno".r^4 .�rr�.: Zip: <br /> •te - <br /> 9MOS5 4810 — 1?honel S w <br /> late Tank Received: 7 <br /> AdJIT tjUb SIdNA'[W AHD TITLE <br /> tARlRApRAtlRAAttlR!!fAlRRtltlt!!!!ttltRRtftRflAAAR!!!l9lRR#AA#RtltRt!#RltAflfA!!!!AlfRRRA!! <br /> ;H 23 049 12188 <br /> AIGINd xif MUC!'IONS: F= IN HALF AND 8TAM. MT1X PROPER A087NZ. <br /> SAN JOAQUIN LOCAL HPLTH DISTRICT <br /> AT N: LUDERGROWD TANK PROMM <br /> P. 0. BOX 2009 <br /> STOCKTON, CA 95202 <br />