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SAN J'0�OMfq C-011WIT rumiC 11FALT111 SFRV-V.3 ' <br /> F,Nvint)romti'At. IIRA1,Yt1 Mvt.41ON <br /> UNIMIG-ROUNi1 5TORAGF TANK 111911051TION TRACKING RECORD <br /> aaa►s a►.......♦a........«a a..♦+««««a««.«««a♦+.Na+a«a«a««««N«+«♦«+++++++++4N4444*444+t4#4444tt4�tt444t4t♦ <br /> ;ra 11(i(i I t•nirll. ifo..11111 0,1virrl rnvbotimrninf irr11111 DiviAms Tank TfackinR Shirt 160111 arcornpany lACh funk affixed <br /> k01h ii1 tUr. IrIrn11(Ic,+lltrtt nntnl►rr. the funk irncking ,Sheet 1s to Ire letutuerl it, i'u61ic llertith Services Fnvironmmial lfeelrh <br /> iild-Atm nillitn JO tinvt of acrrrtatirt- of flit-intik by the dilrolnt or reryrllnot facility. the perrirlt holder is responsible for <br /> r11111tbrg flint 1111.1 folm It Cnnrplried rout rrinrnetl. <br /> PACII.I I Y NAMP- Van De Pol. Enterprises 1 .1'.A. p CAC002102104 <br /> t'A(:tt if v At)t�Rra:: 3230 N. West Lane, Stockton , CA 95204 <br /> IAIIY. It) #11.) - 1 __ — -ger Fyrt)115 rnNt C)Nr=Jrs: �) Gasoline <br /> 1W 0o <br /> ra•aaaa•r.a..a.«.�..,......i+...««#«.....«...«.+.+.««.,.#««.#««..«...++«+#..t..t4t'+*i a 44�4�#' �***tt*�►t <br /> Mill.,i ION ). If) he 1111et1 mit by tank 1 riilotal Conti actor: <br /> Intik tir.mi al Cmilrartor._ Jim Tliurpu 011, liic. <br /> Atbltr.t: .)`j i_ N, 11ec lclitarf lid./1'.U. Dux J5'1____�—__• (-11y: l..udl, CA tip: 95211-0357 <br /> ('limn J: ( 20 ) ;3Gf3_G 11-15 Uate Tank Removed: <br /> lira•r••►►►.•►r►+*4.as..4.4444441&aa4.««♦4aa«4...«aa«♦♦♦«+♦a«a«a««+N«++#+##+#4#.44#t14#44444t4t4tt4t4tt44#40 <br /> ,Sr.f.t It)FI I - To br ttlletl oat by contractor "drrontnnilnating lank": <br /> loot hrrnrmm�inatltm C'tmlrnctnr: J1.m 1'rior•iie 0.11, I.ric. <br /> Atitirrm J5) 11. ileclumm 11d./i'.0. flux 357 (.Ity. Lodi, CAZip.952111-0357 <br /> I'Iumr. A ( 2U9 ) J68-6 175 <br /> Antbrr►I7rd irynrsrninifvr. n(contractor certifying flimugh tignainre below flint the tank has been decontaminated in an approved <br /> rnhnnrr n1 trelithed by CA PPA. <br /> 1ta►nr: ,_ ,_ _ Title: Signature: bate <br /> t aRf •.►s• #.a+.; .a. « ♦. •*#.«#t ♦ •1 ♦t«►## ####♦####tt*t4+♦#*• t 4t444t t4 4 ♦ ttt�t t♦t♦ ♦♦14t�1�a <br /> 1 a►��C I s �r er o1 f t 1 f�rlUS all 1vol-owls oml va�i()rs U Mil c�e�;ver �o "�c�rin���gr ��ee3. <br /> Sr,f; iON 1 - fit ht- 1lttirrl and fiat <br /> 'Gy an and im >!e repirtrnta Ire of t e treatment. rto age, or sposa actl t <br /> acrelifing Ienk end/nr pllilnR. <br /> 173r1111y rinnrr: >clui(.l.�ca ';I,r�r..l. i'I (xiltcL� <br /> ..------ ------ -- -- , <br /> lNticho Cordova, CA <br /> Irldlrte: IPUUC) C'Olsrxn 111vd. f:1fy: zrp: 95��2 <br /> haat- is 1 9 IG yU5 -/fU 1 <br /> 1ntr lank ttcrrlvcd: <br /> rare: - -- — -—title: Signalare: bate <br /> aaaa;►♦.a...1.a.«....aa.«4.+.««a..♦a«+aaaaaaa...aa«♦«aa♦♦a«4♦.aa««4a«♦a++a++++++�4♦♦.♦444444444.44♦+444 <br /> r 1.t (14fi (nrvlsetl 9/11/96) Page 10 <br /> I <br />