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Ji H 20 '90 15:51 f'�' � [ �7hd=.1. - <br /> C <br /> UNMFF MOUND TANK DISPOSITIQl 'IRACXING RECORD <br /> sE� rrorl 1 The San Joaquin Local }{calth District 's Tracking Sheet will a, com <br /> affixed with Its site identification numter, <br /> Joaquin Local Health District within 3p h , ThP Trackin Sheet- is turn each tan <br /> 9 to be returned to San <br /> recycling facility. T ho de Y• of acceptance of the tank by dispos,.1l or <br /> e rZ5 u r,l h ha t .-�.�..�t=��. h�' �.I!��_�t n u r <br /> Is �j '? d and rem nPr� z--�otP <br /> f'ACILITY NAME. U-Haul <br /> FACILITY ADDRESg: 2701 N. Wilson 6V <br /> a <br /> —� Y StOCkton, Calif <br /> TAt1}C ID 3 9- / _ _ d 6o r - 000,.�Q wlr O 3 - 6000_ � q <br /> kxt7tt*�tkxzzxztkxk*tzk*R*xk* yt*x*yt**! ** Qy�kQ��¢ Oy '300 �� /ea <br /> SF_Y�TION - 2 - To be filled out by tank rer,toval contractor: **3r*xz�rz**r x" �t* ,�z`�FF* ttx� <br /> Tank Removal Contractor:_ HIMEC CO <br /> NSTRUCTIONP INC. <br /> Address: 4609 NEW HORIZON BL' VD. SUI <br /> Tg 2 <br /> BAKER I 'LU {' L F 7,ip: 93313 <br /> Phone -655 <br /> Telephone: ( 805 397-6555 <br /> *x*Tank <br /> *Retilo ed! ? <br /> SFr"TIUN 3 -TQ filled out by contractor "decontaminating tank <br /> n: <br /> Tank Decontmi <br /> anation" Contractor: BOB MOPTOr7 CONSTRUCTION <br /> Arldres2 506 HIGHWAY 119 VALLEY ACRE; <br /> P.U. B N mAFT, CALIF Zip: <br /> 93268 <br /> -�`—`"—'-- E'iione# : (805 ) 763-4141 <br /> Authorized representative of contractor certifles by signing below has been <br /> ttkrt antank ' <br /> decontamirythe t <br /> 3ted in an approved manner as ,nay be regulated by Department of Heat <br /> h Services. <br /> sIGNATURF ANU I'T TI,E - <br /> `EC"!'IpN 9 -- To bE fil]ed out and signed by an authorised xPpresnetative Of the treatm_ <br /> nt, <br /> +� <br /> storage, or disposal facility accepting tank . <br /> Facility Name CAL. COAST MFG . <br /> Address: 424 S . TEQNER ROAD <br /> TURLOCR, CALIF - <br /> --------- <br /> _.ALIF _ <br /> -------� -- �_z i 9S' 380 <br /> Phone#: X09 ) 634- 0 6 <br /> C'*te Tank Received: <br /> *xxE) GNx ��- <br /> Flf 23 049 12/88 <br /> r'UILIP:G INSTRUCTIONS: IULb IN <br /> HALP Al4D STApr,E. A,-.TIX PROPER f'OSTAcL;, <br /> SAN JOAQ'JIN i,CY.`. 11FALTH DIS?RICr <br /> AIN: LVDLMIGROUND 'I'NlY, F>I�C�C72Atf <br /> P. (1. D-)X 2009 <br /> S'TOC.:XgU14, CA 95202 <br />