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i I <br /> SAN JO11I11N 4791WIT rUn1,IC (IF,AI,TI1 3F, YRA <br /> F,NVIIRONMFNt'Al, IIFA1,TIt 1101V19ION <br /> UNbFRGROUN1► S IORACF TANK UISrosii ioN TRACKING RECORD <br /> ...L.•.!{!•/LLI./!••!!••rlrrrl+!{{rw!!!w♦r••rrrrrrrwr!lrwrrrrrwr♦rNrw♦rrINHNNN14411M44/1444N1144141 <br /> .n,F.rTffirl I Puhll.• Itenllll .1rivkre finvinounr.ttnl nrnith hlvininn Tank Ttarking Sheet shall secompany eAeh lank afRsed <br /> Ivldt It, ,Ile. IdrllllllcallIII mtndler. the 'lank IlAt:king Shrel is to be telotned In rabilc Ilealeh Services Rnvlrontnental Health <br /> 111011nn nllhht 30 dnvs. of arcrptanrr of the innk by the t1hpwnl or recycling facilely. The remit holder is responsible for <br /> euso,hq Ibnl Ill, form is compleled and Impelled. <br /> PACII.IIYNAMI?: Van De Pol Enterprises B.P.A. p CA0002102104 <br /> I'At:ll.11Y AI)I1Rr5.5: 3230 N. West Lane , Stockton, CA 95204 <br /> IAIIK 11) #19 ,p ODd(1_ 1ANK S17.E:_ 10,000-911ARVIOU.4 TANK CON"fEmn. Gasoline <br /> �-- 4� ilk +►f M�Ff <br /> .u•L•••/•••!•!{wH!lwrNlwH!lwrwH HM Hw..HHlM MMwHwwl Hw Hrl/rrNN11N14 1 f f 4 14 44 <br /> SP,f:1IM /. In be filled(file by lank Irnrarnl rnaleariar <br /> 1,111k fletnovnl cotmacror:_ Jim 1 forve oil. 1110. <br /> Ad.hrtt: J51 H. Beckman lid./1'.U. 8vxJ5'(________• chy; Lvfl�CA <br /> zip: 95241-8357 <br /> Motion #: 1 .20.9 _368-6 U-5 bale Tank Removed: <br /> ,.•L..•.•••rL•r{1!!L•!•{{µwlr!!lwwrr{♦w!♦•♦wrwrwrlrrrrwr♦r!w♦♦wwrwrrrM I4NIN44141111144M414144141M414M <br /> Sill:1111N 1 - 'fit be. filled not by conhnrinr "decontaminating lank": <br /> Intik hermnnndnadon conancinr: Jim Thorpe 011, Inc. <br /> Atithm: _J51-1l. Ueckmau ted./P.U_8ox 35% taly: Lodi, CA Zip;952111-0357 <br /> PhnneA ( 209 ) J68-6175 <br /> Aurhmhrd irIII rsrnlndve or cmmaclor cerlfrying through signature below drat fire tank has been decontaminated In on Approved <br /> ttintitlrt nl te.itllted fly (:,if PPA. . <br /> Ilvnr: jj life: Signature: DAIS <br /> 1 tip <br /> ."Is en ,.. . d. P w.,.A.{r.�l}.!+r, ►.....}.....1�Ir...R,�r4..�r•11.. d11i�♦ 1'4 *�11�444.14* <br /> 1r1I �C is Itee of a rr !1 f1f "� ant o "errimt va un s t 'nn fie ver n n <br /> Sr.f: ION 4 - I'if he 11jnril and nI r fly an aIle um n nepnrsenla he of t e treatment, sto age, or sa acll t <br /> aereplloR lank and%or piping. i <br /> t'ncllltyllnnlc; L+chnLfzcl' 1;Ler,.1 Ih'otlucl. l <br /> 12000 r'olsfrn 111v(1. Ilnncho Cordova, CA <br /> Attlee, City: zip: 957/12 <br /> 916 1 985--4810 <br /> Jnfr Innk Received: <br /> ------------- <br /> lame ------ <br /> 1121 <br /> title: Slannnne: bale <br /> /L.L.i••HHl11lH{IIHH!{Mlaa!♦a♦�••aa•!•!♦♦•aaaa♦aaaa!!N♦♦••♦aH♦a.•!!•4!{M••rrNrrNrlwNrr Mrrrl <br /> II 21 046 (Rrvlsed 9/11/96) Page, 10 <br /> I <br /> 1 <br />