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y SAN JOAQUIN COUNTY PUBLIC II.EALTII SERVICES <br /> ENVIRONMEN'T'AL HEALTH DIVISION <br /> UNDERGROUND S-I'ORAGE I'ANK DISPOSITION TRACKING RECORD <br /> SEC1'10N I - Public health Services Environmental health Division Tank Tracking Sheet shall accompany each tank affixed <br /> with its site identification number. The Tank Tracking Shcct is to be returned to Public Health Services Environmental Health <br /> Divkion within 30 devs of acceptance of the tank by the disposal or recycling facility. The permit holder is responsible For <br /> etisuring that this form is completed and returned. <br /> FACILITY NAME: Ray Baglietto & Frank Rauzi. E.P.A. 0 CAC0012 3 6 <br /> FACILITY ADDRESS: 8200 N. Hwy 99, Stockton, CA 95207 <br /> TANK 11) b39 - ,.3 TANK SIZE: 8,000 921 PREVIOUS TANK CONTENTS: gasoline <br /> SE,,CTION I - To be filled out by tank removal contractor: <br /> Tank Removal Contractor: ditn Thot' e Oil t lttc. <br /> Address: 351 N. Beckman Rd./P.0. Dox 357 City: Lodi, CA Zip: 952410357 <br /> Phone A: { 209 368-6175 Date Tank Removed: <br /> rt••+r+++++#•*.ts+#++r#r#r:+++#+#+rs+r+#+++4rr4##++++4+*+4##r#4+�4r♦ +*++###*#r*#«*#*4#++***#**'�'�#t**#M**#* <br /> SECCION 3 - To be filled out by contractor "decontaminating tank". <br /> Tank Dccontvninadon Contractor: Ji.nt Tliorpe Oi-1, Inc. <br /> Ar[dress: 351 N. Beckman Rd./P.O. Box 357• City: Lodi, CA ZIp:95241-0357 <br /> phone a: { 209 ) 368-6175 <br /> Arnhurized 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: tC� R _Title: Signature: Datey� <br /> a «s .ate+++ 44•#+# #+ #* #* **#++#+ + +# f#r+++ <br /> 4ranfK 1s free of a"f s u4ges an � fro arson vapors upon dte Iver o hn�tZ r tee . <br /> SECTION 4 - To be signed and dated by an outhYorize� representative of the treatm�t, stofage, or ctsposal aril ry <br /> accepting tank and/or piping. <br /> Facility Name: Sclinitzer Steel Products <br /> Rancho Cordova, CA <br /> Address: 12000 Folsom Blvd. City: Zip: 5 42 <br /> Phone 1: ( 916 } 985-4810 <br /> Date Wank Received: c <br /> Name: i� S Signature: Date <br /> Eli 23 046 (Revised 9/11/96) Page 10 <br /> I <br />