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, - � ' <br /> r <br /> Jim Thorpe 0ii , Inc. <br /> 351 N. Beckman Road • P.O. Box 357 • Lodi, CA-95241..- <br /> (209) <br /> A-95241._(209) 368-6175 0 (209) 462-4581 <br /> Contractor's License #495699 <br /> PAY'MENT ',: <br /> San Joaquin Local Health District <br /> 1601 E. Hazelton Avenue JAM 2 G � <br /> P. 0. Box 2009 <br /> Stockton , CA 95201 ENVIRONMENTAL HEALTH <br /> Re: Permanent Closure/Tank Removal Plans PERMIT/SERVICES <br /> 1 . Owner/Operator: Gary Brophy _Phone (209) 823--0947 <br /> Facility address: 941 E. Yosemite Avenue, Manteca, CA <br /> 2. Parcel plot plan showing tank(s) to be removed attached. <br /> 3. Contractor Name: JIM THORPE OIL, INC. <br /> Contractor Classification: A <br /> Contractor License Number: 495699 <br /> Certificate of workers' compensation insurance on file in your office. <br /> 4. Tank # on plot plan Tank Size Products currently or previously stored <br /> 282 1 ,000 pleaded gasoline <br /> 283 11000 aper Unleaded gasoline <br /> 284 1 ,000 egu.-Tar gasoline <br /> 285 11000 Diesel fuel <br /> 5. Laboratory that will collect soil samples Canonie Environmental <br /> A signed "Release of Information Authoriza ion" is attached. <br /> 6. !'Method of disposal of all residual liquid, solids , or sludges , if applicable: <br /> N/A. tanks out of servi ce and empty <br /> 7. The tanks will be purged of all flammable apors to preclude explosion or to <br /> levels specified by existing regulations by inserting dry @ 15 lbs per 1 ,000 _ <br /> gallons <br /> ons <br /> 8. Method of disposal or reuse: tanks to be taken to Triangle, Inc, 52nd St. , ` <br /> Sacramento, CA for disposal �� <br />