Laserfiche WebLink
ju <br /> )(X,1 WANNA 111) M P 11 1 <br /> IIcalth Uffrctt <br /> -- r'I.l <br /> r U nnx 2(x19 ' ( I(>oi cast It-Arclton Avrrn,c) a Stockton. Gtltfornlx 95201 <br /> {znq) OA 34()0 <br /> UNj)1-,1t(.[to UN1) IANK 1J1Sf'OSIIION INjk -KING ft1;(:URl) <br /> •. 111s.a ....1f ►too r1/..1/11►111f11►.. 1f1►1111/111x1 .►/r►/11►rrr/1/./..s.r.rl.rrarrl..r.lrr.1llrrrarrr• <br /> S1"('I IWI i - 1 tiblic 11cn111i Services T ricking Shcct will -icr'o1r11i,ny cath tank affixed with Its site identincition number <br /> T T r,rking Shcri IS In lir retirrnetl to 1'11blic I IC11111 Services irithin 30 day.1 of acceptance of the tank by cite disposal or rcc <br /> f,ciliry I lie prrltilf holder Is resVonsible for ensuring that tins farm is completed and returned. <br /> 1-AULIIY NAM1; Boettcher Western Prooerties 111 Ltd- <br /> -r M 11 11 Y ADDRESS 4555 N. Persiiing live Stocktarr, Ca] if <br /> f AtIY. 11) x'119 /r t� r� 1 - lank Dcscrip,loii 12,000 gal Diesel ) <br /> EPA Si to ff CLIC �OUC� :Q....................... <br /> 6 0 1 1 f$1 1 f 1►1 .1/...1 f.►1 1•►1 1 1 1 1►1 f 1 f..♦I.f f 1 1 f 1.Y f r 1►1 1 1 1 1 10 r/1 1 r 1. f 1/ <br /> Sr't-1 fw4 7 To fie filled otit by tank rrlrtriv,l contractor <br /> lank itcrltovil Contractor JIM THORPE OIL , INC DBA RIC1I-1il1RT CONSTR. <br /> Arirlrrse 351 N Bec.krnan Rd , P 0 Box 357 C1ty Lodi , Cli Zip 95241 -035 7 <br /> rbrtnc ( 209 1 368-6175 Untc Tartk Removed /Kh Z-� <br /> • i r 1 / •... . 1.1 1/ f r 1.1 1.1 1 ►0.1..0 1 .+1 1 t 1 f►f►1 1 1►1 1..1 .1 i.1 1/1 r 1 1 1 f 1.►f r*►.1.x.1.1!.1....1!1 1..r f!!!r f!• <br /> Sr'c 1 IrtN In hr fillcd nut by contractor 'dcconfam,nating tank' <br /> Iank 1)econtarnin,thtn Coitrr,ctor JIiI THORPE 0IL , IPSC Ulill RICH-MART CONSTR./Nor-Cal 0� 1 <br /> Hauler of rzns <br /> Ar(rfrrss 351 N Becknian Rd , P 0 Box 357 C11y. Lodi , CA ZIP 95241 -0357 <br /> rl,rinr ay f 209 ? 368-6175 <br /> Actih(irl7rd rrpre4cnrntivc of cmitractr?r ccrifr,cri t,y signing bel()%+ that the tank has been decontaminated In an appro <br /> ninnncr as rcquircd by the Si-itc Ucpnrint nt of I icnith Services <br /> S1Pr�,r,rrr �a•C� � Tltic• <br /> Vice-President <br /> - iartk t s free of al 1 slvdyes and hydr-6cr rlton vapar5 upon del iverr to Schni tzer Steel <br /> . . . ,.... ..f.. ..f1...►.......................f....,.,.......11...........,.1. 11.1.r..r/............1. <br /> Sr-(_ i IUN 4 - T o },c signed and Witcd by ,n rtttihorl7cd represttilnlive of clic treatment, storage, or disposal facility <br /> ncccpling link andlor piping <br /> Ficlifly N,rt,c Schnitzer Steel Products <br /> -- Adrlresv 12000 Folsom Blvd . City Rancho Cg.rdov ZIP 95742 <br /> rhone >y ( 916 ) 985-4810 <br /> L 11,rr 1,nk Rccclvcd <br /> -- 51gn;ttrtrC T1tle= l <br /> 1 . ..... ....f...1 1.........1.... 1...f.1..•f f 1 1.1 1 1.........f 1 1 1 1 f..• ...I f...1.1.1 1 1...11...1 1 1..x 1!1..1 <br /> r,gc 10 <br /> ott t) <br /> 7y e? ;Rev 7/B/911 vis <br /> A nr.ivinn n!Un)rwrnrn r nunrr irrakth r3rc�cnicc• �, <br />