Laserfiche WebLink
PUBL,Js� HEAU"H <br /> SRN Jr1Rt1111N(:UUN1Y <br /> JUGI KHANNA M.D.,M.P.11. <br /> Ilcaltlt Ullitcr � <br /> V(). MIX 2009 • (16A)l npr.cllt,n Rv,r,r) • Sttxktort.Ullft>rnlx 95201 <br /> (209) 4014M <br /> UNUI;It(;It()t)ND 'DANK 1?I51't)51"1'lVN TRACKING RECUR ) <br /> te <br /> C1 r"I Ir►If I I'++I,lir: I Ic+llh Srrviccs 1lackirlp,Shed will :1ccrT,tll+aT�ytla slrtf a cclink lttlncc olfllhe lainkiby life�disposal or recycl n1g <br /> �11:+r klrlp.SflcrI Is If, he trImoirrl to 1'uhlic I Icallh Services tivilllin 3��y_ <br /> lacility. I he 1+rrntll hrTldr.r is rc5I1f►tlsiblc for cn511rit1l; that thi,5 form is crrtnplctcd and returned. <br /> ACII.1IY <br /> 1-/1(:11.)I Y /1U1)1tI SS ��0 f�. k='r morlt `'t Stockton Calif <br /> AIIK 11) 1119 - q—V3--_ 'I;+nk Descrilrllol): 12 000 131. Diesel puEl <br /> --- [I'll Site ll (t►Q�) ►Ti �1 #►#f►#t►f#######1##t!t#!!f• <br /> ti r 1ir11t � - 10 I,r fillcrl oltt Iry 1131+k rcrnoval INC. UBA RIC11-MART CONSTR. <br /> r+nk IZcnlnval (-'nrll►aclor: — JIM 1110R1't OIL, <br /> llrlriress: 351 N. Becklnatl Itd. , I'. O. Box 357 City: Lodi , CA Zip: 952A1 -0351 <br /> 3613-6115 1)a(c Tank Retltoved: - 02 <br /> ciI r'I Irrld 1 - to hc fillrt} onl by conllaclor �dCCr1111at1Tftlallrl& I,I}k": <br /> lank I)ccnniarnirlalit+n Crinttac(nr: JIM T1101Wt Olt, INC. DBA 111C11-MART CONSTR. Naulerlofirinsate <br /> ' <br /> Lod i , CA Zi 1 95211--0351 <br /> 351 N. Becr,ttan Rd. , I'. 0. Bax 357 <br /> /1drlrc55: City: I <br /> 369-6175 <br /> nrrrhnri�rd rrl,rrsrrElativc of Cnnlractm rr_ETificd by sil;nil,g hCltTw 111131 lite Iatlk I,as becrl decolltaltlillated In an nPP1[0vcd <br /> rear+rrcr ac tcq+rited by L111IS111c Url,:,rinlcnl of 11 1111 Scevices. <br /> litic -President <br /> ni tzer 5tee . <br /> Tank is free of all sludges and hydrocarlfon vapors upon delivery to Sell <br /> •.. .,.•••••.►{{.•...••a•{•.•.•..{.•{{{••{{.••••••••••..{•►.•►•►•••.►•#••►►•►►•►••e►Or disposal facility ###•## <br /> SFt"1111N 4 'vii hr Opticrl 'I'drlatctl fly an nn111nrl�etl rr.l+resen1Tt11ve of the treaUncnl, storage, <br /> accrl,linp lank and/m I+il+ing. <br /> 1 ,(jiffy rhIT1C: - ___ SchniLzer Steel I'roducLs <br /> Cil Rancho Cordovan ZII?- 95142 <br /> /�rltiTrst: 2UUU I O1 5U111 Blvd. y' <br /> I'hrtrrr 11: (-916 0_ 905- 1810 <br /> Unlc. Iar+k Rccelved: <br /> `I'itic: <br /> Page 10 <br /> Fit 23 4r? ("^V 2/13/91) Wr R <br /> A h11,r,n n1 San Jmgnln r:nunry nclr,h Cart Scnicca �) <br />