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SAN JCr QUIN COUNTY PUBLIC REALTH SERVIr,, 5 <br /> ENVIRONMEN'T`AL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD <br /> SECTION I - Public Health Services Environmental Health Division Tank Tracking Sheet shall accompany each tank affixed <br /> with its site identification number. Tire Tank Tracking Sheet is to be returned to Public Health Services Environmental Health <br /> Division within 30 days of acceptance of the tank by the disposal or recycling facility. The permit holder Is responsible for <br /> ensuring that this form is completed and returned. <br /> FACILITY NAMB: flay Baglietto & Frank Rauzi E.P.A. fi CAC 0012 <br /> FACILITY ADDRESS: 8200 N. Hwy 99, Stockton, CA 95207 <br /> TANK IU X39 - Z TANK SIZE:8,000 gal PREVIOUS TANK CONTENTS: gasoline <br /> SECTION 2 - To be filled out by tank removal contractor: <br /> Tank Rernoval Contractor: Jinn Thorpe Oil I lnc. <br /> Address: 351 N. Heckman Cid./P.O. Box 357 City: Lodi, CA Zip: 95241--0357 <br /> Phone #: ( 209 _-) 368-6175 Date Tank Removed: <br /> SECTION 3 - To be filled out by contractor "decontaminating tank": <br /> Tank Deconuunination Contractor: Jinn Thorpe Oil, Irnc. <br /> Address: 351 N. Beckman Cid./P.O. Box 357 City: Lodi, CA Z1p;9524 1-0357 <br /> Phone N: ( 209 ) 368-61"j5 <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: ,uCi 32D_ tbgge, Title: �/) Signature:4&"— e= Date ,�7/� <br /> 'I*an�C 1s free of a"Y'� 'nuc es ani yydrogGarbon vapors upon deliveryy to n tat <br /> SECTION 4 - To be signed and dated by an authorized representative of the treatment, storage, or s s acil <br /> accepting tank and/or piping. <br /> Facility Name: Schnitzer Steel Products <br /> Raticho Cordova, CA <br /> Address: 12000 Folsom Blvd. City; Zip: 95742 <br /> Phone N: { 916 ) 985-11810 <br /> Date Tank Received: <br /> Name; Signature: Date 9, <br /> Ell 23 046 (Revised 9/11/96) Page 10 <br /> I <br /> I <br />