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SAN JOAQUIN COUN'T'Y PUBLIC 11FALTI1 SFRVICr1S <br /> FNVIRONMEN-rAL IIFALTII 6IVISION <br /> UNDERGROUI$D STORAGE 'TANK DISPOST'I'IUN TRACKING RECORD <br /> �+raa++aa++«+++ora«+ar+r+«w«r#«++r+w***+a+ta#**r#t##**r#**«t#ttt+*#*wtt*+ttttw*wwtt*###****+��♦4«#*'«**�+4#** <br /> rt;1 It 1N 1 Puhlir. Health Services Environmental Health Division Tank Trlacking Sheet shall accompany each tank affixed <br /> tvirfl ire Or irlcntificatinn munher. The Tank Tracking Shect is to be returned to Public Health Services Environmental Health <br /> }livi,sinn tivitl_r�e�3n rlays <br /> Of acceptnuce of the tank by the disposal or recycling facility. The penult holder 13 tespOttalbEe for <br /> 1. 21suring that tills form is completed and returned. <br /> 'AC:ILf!'Y NAME: Tri Star Wines, LLC L.P.A. fl CAC001166584 <br /> DD <br /> Ross: 1325 N. Corral Mallow Rd. , Tracy CAS 95376 <br /> ACti_1 I Y A <br /> FANK IU #39 - _ TANK SIZE: 800 PREVIOUS TANK CONTENTS: Id gasoline <br /> ,11EC-TION 2 - I'o be filled out by tank rerpoval contractor: <br /> l <br /> "i:mk Retnnval Contractor: Jitn '11101-13C Oil inC. <br /> ddtrs.s:---35l-Id. Beckman Rd./1'.O. box 357 City! Lodi, CA zip: 95241-0357 <br /> f'hrnle A: { 209_) 3613--6 175 Date Tank Removed: <br /> s ra.aaa+a++a++++aaaaaar�.«+ta+««r#««*ra+#r+#«#*«+++p*##*#«+«*,h* +ti4*#t*#*ttk*##'t#t*4*t+F#ttM#4*Rtt+M*#*h►�'M#t! <br /> ,STCI'IUN 3 -To be filled out by contractor "decontaminating tank": <br /> Fuck Iyer-out lruivativtl Contractor: Jint '1'ltorpe Oil, Inc. <br /> AddteSS: 351 CJ. Becktltatl lief./I'.U, Box 357 City: Lodi, CA Z1p;95241-0357 <br /> E ,one 9: ( 2U9 ? 368--6175 <br /> �tttiru 7rd trpwir,ntatker of contractor certifying through signature below that the tank has been decontaminated in an approved <br /> inner IS rcrli0terl by CA 1--PA. 1 <br /> ;Jarlte: f rl� 0�- 2- Title: (�./' Signature: /�''��-Date <br /> � +ya +raaaa* +++• � at **+++#+ a r+ «r+#*« r+*r+##r«##+t«r�+++ # �#***** w#wwt#*At*w#w###*#t# #aMf+h*t <br /> 'I art is it ree o a I s uges and s c�roCCar ion vat}Urs u on c�e i ver o Sohni t <br /> ;fC I It)N I'n be signrd,and dated by an antfiorized representative of (he!treatment, stolage, or lspos ac il ry <br /> accepting tank and/or piping. <br /> i• <br /> Faciliry Narne. Schnitzer ;steel 1't'Qduct;S <br /> Ti7rtclto Cordova, CA <br /> Fr I I C.1s:__- 12000 Fol colli 1 lVd. City: Zip: 95742 _- <br /> 9 16 ) 985-/0 10 <br />:�.re 1311k Received: Z <br /> Signature: Date 2- Gl. <br /> •+a+a++++a+aaaa+aa+a*#a+aa«««++««arras+«+«aaaa+#+#rat*#*a++#+##r#Rata+«+*+##twt#t+#ttw##w#*wtw##*w###w#* <br /> 1_ 2.3046 (Revised 9/11/96) Page iU <br /> F <br />