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SAN JOAQUI1f COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONtiLENTAL HEALTH DIVISION <br /> TOR-kGE TANK DISPOSITION TRACKING RECORD <br /> ABOVEGROUND <br /> SECTION I - Public Health Services Environmental Health Division Tank Tracking Sheet shall accompany each tank affixed with <br /> its site identification number. The Tank Tracking Shut 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 that <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#4- TANK SIZE: 111 000 PREVIOliS TANK CONTENTS: Diesel <br /> -**#####*#***k:r#oM*#**###:A�tcakgcx.7c=�,'�.'r7Y IL14**#******#*�#**#*#*****#*#:r:r�.#:lr�rtar#####*s#.:-_•—:�:�w+••�+t*#*�#*##:#a### <br /> SECTION 2-To be filled out by tank removal contractor: n <br /> Tank Removal 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 Date Tank Removed: October 8, 2002 <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»t: ( 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 Title: Vice-President Signarure: Date <br /> T*an"c s free off'" a s i u ge ani h4rpcArbon vapors ygn def11 er ;F qg acl�i el . <br /> SECTION 4 -To be signed and date by an au horize representative o e trey t, stir , <br /> accepting tank and/or piping. <br /> Facility Name: Schnitzer Steel Products <br /> Rancho Cordova , CA <br /> Address: 12000 Folsom Blvd. Circ: Zip: 95742 <br /> Phone,r: ( 916 ) 985-4810 <br /> Date Tank Received: l (-� '0.' <br /> _ k �� <br /> Name: Title: � � <br /> t�"(ef Signature: Date <br /> ######*#:II.....al#:11##...K#a1###*�1ii�*##�#*##%M####1M#�#*��##�##KM###:f:Mli YAt#y1 1�1:Vafl lY l:M fill##........ <br /> EH 23 046 (Revised 08/13199) Page 10 <br />