Laserfiche WebLink
UNDER(x2ClliM TAMC DISPOSITION 'I'SACKIN(; E BMRD <br /> Sheet viii accotapany each tank <br /> *s#srRar+aa#R#Ra#Re##aa##a#RR##ocal IteaithatiiatrictaBR'I'racking##3#Rao###aR#R#aRaRatr#RRa#a### <br /> SWrION 1 -- The San Joaquln G Sheet is to be returnedtoSan <br /> affixed with its site identification number. The Tracking ` <br /> Joaquin withboca <br /> Health District within 30P. 0 days ofti cceptance of the tank by disposal <br /> recycling facility. ted a <br /> l <br /> FACILITY NAM 953 6 <br /> FACILITY <br /> TANK ID <br /> R*a*#*#R#R#a#R <br /> SW.ION - 2 - Te be filled out by**Rf**a*s##*#****R**tank*removal#contractors <br /> E NS1 UCTION QUIPANY <br /> Tank Removal Con'.ractor s z s 95LU-4433 <br /> Addresst <br /> 5 i I JOSE CA. Qhonelt $08� <br /> } mte Tank Removed' <br /> 4pg <br /> Telephones 1 408 1 ---— <br /> #RRRaaR##aR#R#Rk#R#a#a##aR#*##R##R###ctora"decontaminatingRtan" <br /> tRR#RR###RRRRRM##RR##R#RRRff <br /> SWVICH 3 -To be filled cut by contra <br /> Deccntaminationh Contractors H8H SHIP SERVICE ZIp,9410� _ � <br /> RAIiCISCO ' CA' <br /> Phone It( <br /> Addresss <br /> has <br /> en <br /> Authorized representative of contractor certifies by slgningD'bOelt�etoh}ieffilth Services <br /> decontaminated In an approved manner as may be regulated by pa <br /> Sl(gJATE1RE AND TITLE <br /> ban <br /> #authorized represnetative*ofRthe atreatment, <br /> ## <br /> To be filed out and sined <br /> storage dor disposalifacllity accept!9 tank. <br /> storage, <br /> facility Name WSHIP SERVICE 94107 <br /> 220 HI BASIN SAN FRANCISCO, CA. UPI . ._.... <br /> Addresst Phnne9t <br /> Date Tank Receiveds <br /> AUn RIZED sIC;t1ATUIU; AND TITLE <br /> #a##RRR#RRR#R#RRR#RRRRRaRR#RR#R##R##aR#R####*RRR###*RRRR#R#RRRRRRRRRRRR#RR#RRR#R#******RRRR <br /> EII 29 049 .12191 <br /> ! FOL <br /> LING INgTR1,iCTIONSt D IN HALF AND BTAPIS+ AFFIX PROPERpCSTA(Z. <br /> SAN JOAOUIN LOM iEAf,TII DISTRICP <br /> ATIN t (lNDE nGROWD TANK PROM M <br /> p. 0. box 2009 <br /> gIp(1CTON, cA ..95202. <br />