Laserfiche WebLink
SER!��� ESPU�3LI11EA.LTP �t <br /> SAN JOAQUIN COUNTY <br /> )(x,i MANNA M i),M P it • <br /> • Ilcsith Ofhcei <br /> x'11 d1i��` <br /> P U Box 21x19 • (1601 Emt Ilarchon Avenue) a Stockton,Callfornlx 95201 <br /> (209) 408 3400 <br /> UNI)Ew,'l1UUNU 1ANK UISI•USIIION TRACKING RECORD <br /> ••/t•••••tRttf••••t•tttRtRf•rt•eft•tr•frffRlR•fRtRRtR!lffrRrrfft••RRtr•!••lRIRRtlRRRff!!R•RRflRlr!!•l RtRRR• <br /> SF( I ION I Prlhlic I lenlilr Servkcs I racking,Sherl will accompany cath tank affixed with Its site €denliflcadon number The <br /> 1 racking Sheet Is to he returned to Public I Icalth Services wilhin 330 days of acceptance of the tank by the disposal or recyciing <br /> facility The permit holder is responsible for ensuring that this fort' Is completed and returned <br /> I-ACILIIY NAME' Sierra Bay f=arm Crede <br /> I AC.ILI I Y ADDRESS 18775 Tom Paine Road, Trac-Y, CA <br /> LANK ID #39 �3d7�o1 lank Uescriptlott 1 - 350 al . Re ula <br /> EPA Site # CAC 000623184 <br /> ••t•f•ft••f•tet•••f•fr•••••••tier•••r••tf•t•err•r•tt1•Rt•tf•••R•t1lRtf•IIRRRtfstRtfs!!!!s1lssslsRssRlsRls• <br /> Sr-(-[ION 2 To he filled otlt by r J I Mr TI IORPEioval �1 OIL ,o INC DBA RICH-MART CONSTR <br /> lank Removal Contractor <br /> Adc#rcsg <br /> 351 N Beckman fed , P 0 Box 357 City Lodi , CA Zip. 05241 -0357 <br /> Phone # ( 201 ) 368-6175 Dale 'lank Removed <br /> •t•••ft►ft•tff•t!•••ft•f!r••It1•rt•fR•1•RtttRtRfRR!!lRft•/RRlts!!1R!!R!•!sslRss!!lssfRls•lssf!!!ss!!ss• <br /> SAF=(.'f lUN l tci be filled out �y contractor "decontaminating tank" STS, Nor-Cal Oil <br /> lank Deconminlnation Contractor JIM THORPE OIL INC. DBA RICA-MART CON Hauler of r 'sate <br /> Address <br /> 351 N. Beckman Rd. , I 0. Box 357 City Lodi , CA Zip 95241-0357 <br /> Phone N ( 209 ) 368-6175 <br /> Amlinilred rrpreseninave of contractor certified by signing below +1181 the lank has been decontaminated in an approved <br /> manner at requited by the State Deparinteni of I lealth Services <br /> Signainrc ,���Gt --v Iftie. Vice-President <br /> Tank is free of all sludges and hydrocarbon vapors upon delivery to Schnitzer Steal <br /> •••t•••t••f!1•tt teft••too•f•I R•••tttf•••••.••t•t Rf•t••*•• ••Itt•••rrll••RRRlR Rff!!RR!!!!!!lRRf!!!• CtlRRR <br /> SECTION 4 - Int hP Y <br /> e fl ned and dated b an ntilhorixed rcpresent'tive Of the treatment, storage, or disposal facility <br /> acccptln& tank and/ur filling <br /> facility Name; Schnitzer Steel Products <br /> Addiew 12000 Folsom Blvd. City. Rancho Cordova Zip: 956 <br /> Phone # ( 916 ) 985-4810 <br /> Date "lank Received <br /> S attire U' Tllle- <br /> •tr1••fetat•f11•tff••ffttR•IIf••rltfftf!!f•tlttRrR•••t!•fRt!lIRItlIflfR!•lRR RtlRtR!!•!1!►•!f!R!lRIRR <br /> rage IU <br /> fN zl 119 (Rev 2/8/911 ++h <br /> A inklonn 01 sit,Joaquin[ounty liralrh cue 5enicee �) <br />