Laserfiche WebLink
SAN JOAQGL`I COUNTY PUBLIC HEALTH SERVICES <br /> ENN RON,*Y ENTAL HEALTH DIVISIOL <br /> MMMMIONVWTORAGE TA.Nx DISPOSITIO`1 TFUCIJING RECORD <br /> ABOVEGROUND <br /> MMMM##WMMMMMM#MMMMMMMMMMMMMMMMMMM#M#####MMMMMM#MMMM#MMMMM#M+MMM##fMM M M####M#M##MM##M+M*N*M#M#+M#M#�#MNM#x�xxWW <br /> SECTION 1 - Public Health Services Environmental Health Division Tank Tracking Sheet shall accompany each tank affixed with <br /> its site identification number. The Tank Tracking Sheet is to be returned to Public Health Services Environmental Health Division <br /> within 30 days of acceptance of the tank by the disposal or recycling facility. The permit holder is responsible for ensuring [hat <br /> this form is completed and returned. <br /> FACILITY NAME: CENTRAL CALIFORNIA TRACTION CO. EPA SITE # CAL 000200959 <br /> FACILITY ADDRESS: 1645 Cherokee Lane, Stockton, CA <br /> TANK ID #Y- TANK SIZE: lV UD PREVIOUS TANK CONTENTS: Diesel <br /> -MMM#MMMMMMM#M#M###MMM#M:F##+M.Y.M.'+Wf.Z.Y.=�.L'�*XL*MMMM�MMMM MMx#M#M##M#MMM#MM###W#M##M###M##W#M#s#+M#M###MM#*MMMssss#w+ - _ <br /> SECTION 2-To be tilled our by tank removal contractor: <br /> Tank Removal Contractor: JIM TH 0 RP E OIL, INC. <br /> Address: 677 E. Lockeford St. , P. 0. Box 357 City: I ndi - CA Zip: 95241-0357 <br /> Phone <br /> 209 368-6175 Date Tank Removed: October 8, 2002 ` <br /> u: ( ) <br /> MMMMM##MMM######M#MMMMMMMMMMMMM+M##MSM##MMMMM#MMMMMM*##M*##M##MMM#WMM*M#MM#MM+M*M#MMM#MMM%M#M�MMM#MM#M#?xW#### <br /> SECTION 3 -To be tilled out by contractor "decontaminating tank": <br /> Tank Decontamination Contractor: JIM THORPE OIL INC. <br /> Address: 677 E. Lockeford St. , P. 0. Box 357 City: Lodi , CA Zip: 95241-0357 <br /> Phone#: ( 209 ) 368-6175 <br /> Authorized representative of contractor certifying through signature below that the tank has been decontaminated in an approved <br /> manner as required by Cal EPA. <br /> Name: Martin Thorpe <br /> Title: Vice-Pr' i Signature: <br /> M�{MMM M#MMMM MM MM M# M#M#MMMM W#MMMMMMMMMMMM#MMMMWMMMMMMMMMMMWMMMMMM#MMMM#*MMMMMWWW#MMMM#MMMWxsx###. <br /> TMan�c.:i s:., tee :o a�"�` s�u eS an h drOc rbon vat?rs ion( de61�er� � ;Fgg��p act�i�el . <br /> SECTION 3 To be signed and dated by an au�hortze� represen a ive o e tea [, se6r , <br /> �. accepting tank and/or piping. <br /> Facility Name: . Schnitzer Steel Products <br /> Rancho Cordova , CA <br /> Address: 12000 Folsom Blvd. City: Zip: 91,742 _ <br /> Phone 4: ( 416 ) 985-4810 <br /> Date Tank Recei1ve�d(:� �6-7 01 <br /> Name: tV�C1 Tide: LJL*-*-kd�t�C Signature: Dace /` 1 4 -z <br /> M#xMMWxMMMxM#M#MWSM*MMMMMxs WM#sMM#xM+rxxMMMxMMMMMMMMMM#MM#MMMMMWaM%Mxx##xMMWx#MMxMM###xW*Wx Wx:iM#W:NM:ixaW Wxx <br /> EH 23 046 (Revised 08/13/99) Page 10 <br />