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' UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD <br /> ♦r•rtftsfff!lRrttflitRlfftlRfrflRlfttirlt!lrft!lfttRiftfsRtf!!!IttfRit!lrsffRffRtfttltfRftrRf!!lftRRlRRlRRR <br /> fication <br /> SECTION t - Public Health Services Tracking Sheet will ��t yn�dans affixed p'with its <br /> of ttte tankiby the disposalOf <br /> 1 The Tracking Sheet is to be returned to Public Health <br /> recycling racility The permit holder is responsible for ensuring that this form is completed and returned <br />' FACILITY NAME RzVerszcle Cenment Co. <br /> FACILITY ADDRESS' 2825 W Washin �.ari St. Stockton Ca. <br /> Q' 1 000 al. un ad1 line TANK ID #3� - Tank Description- , <br /> EPA 41 <br /> trf ltrffttlflf!!!fritftiRtff!!lfftt!!itlR!!r!Rlrtlfrf RR H R!!ft! <br /> f f!f!f!!fRlrRlfrRlrRffrf!lstRRRrlffRs <br /> SECTION Z - To be filled out by tank removal contractor• <br /> Ma orisL <br /> Tank Removal Contractor' - <br />' Address- City* Zip. <br /> hone #' C2Q _j -168-6175 Date Tank Removed �f <br />�'— r•rrfrresrrlsRltssrsrssrrftR•tstsrettsss+tstrrsrtrt•trirfsttfsffrrfsrtsrifsr+fsrrffrss►tssssfrlrrtssfrssft! <br /> SE(_-I ION 3 - To be tilled out by contractor "decontaminating tank"' R _lv11 art on t n Tank Decontamination Contractor. m - <br /> 'City_ Zlp' i <br /> 03 i7- <br /> Address r <br /> tPhone #• C_ZQa_J368-63 T5 <br /> through signature below that the tank has been decontaminated in an <br /> Authorfzed representative of contractor certifying <br />' approved manner as required by Cal EPA. <br /> Title- Contractor <br /> Signature' <br /> Tank �s free of all sludges and hydrocarbon vapors upon delivery to Schnitzer Steel . <br />' rift!lrlRsf�tf!!!f!!RlsR!!!f!!!lftf!!rflRfflRfrrts!!ttlttRRlfRRftsstitRlflftlfrRR#trlRfrlRftR!lsRsrRs#*sass <br /> SECTION 4 - To be signed and dated by an authorized representative of the treatment, storage, or disposal facility <br /> accepting tank and/or piping <br /> Facility Name- Schnitzer Steel Products <br /> 1 <br /> City Rancho Cordova Zip 5 42 <br /> Address 12000 Folsom Blvd. <br /> Phone # { 916 85-4810 <br /> Date Tank Received, <br /> Title- <br /> Signature <br /> •••srrrrrlssstsftrsesfsserftresrrtrrrtrrstrsfsftsfse:•srrsrrlsfrsstrssrrrftt•sltsRrssssifsrirsftsrrssssf <br />' 114 23 049 (Revised 7-10-92) Page 10 <br />