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Jim Thorpe Gil, Inc/ .' <br /> 351 N. Beckman Road 0 P.O. Box 357 0 Lodi, CA 95241 <br /> (209) 368-6175 * (209) 462-4581 <br /> Contractor's Lic nso 14956% <br /> 1'AY ENT:nL 111A.T1i <br /> San Joaquin Local Health flistriLt i3EC10Vt-DE1?v.1CCS <br /> 1601 E. Hazelton Avenue <br /> P. 0. sok 2009JAN 2 G 19r?:j <br /> Stockton, CA 95201 ENVIRUIJMFNrAL <br /> CALT14 <br /> Re: Permanent Cl:a:,ur•e/Tenk Removal Plan,; <br /> PERIr11T'SERVEC f <br /> i <br /> 1. Owner/Operator: Gary Brophy (209) 823-0947 <br /> _ _ F'hone <br /> 94l E. Yoseca, CAmite Avenue, Man <br /> Facility address: _ Ce <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 /> '1. Tank # on plot plan Tank Size Products currently or reviouslLstored <br /> 282 1 ,000 unleaded gasoline - <br /> 283 11000 _ Super Unleaded gasoline V —_ <br /> 2841,000 Regular gasoline <br /> 285 _ 1 ,000 Diesel fuel <br /> ere <br /> ' 5. Laboratory that will collect soil samples Canonie Environmental <br /> A signed "Release of Information Authorization" is attached. <br /> 6. Method of disposal of all residual liquid, so.ids, or sludges, if applicable: <br /> NM _tanks out of service and empty <br /> 7. The tanks will be pur,;ed cf~all flar-nnabl_ vapors tr, rrr•r:;iudt <br /> levels specified 11Y e0,;�i„g ,-e::ulations by _iriSrrLinn J:'y Gl r l� '�•`•..ir�.. � „n <br /> -- .- <br /> 8. Method of disposal or reuse: Lank"sJ_to be taken to Triangle, Inc, , 52nd St. , <br /> SacrametltL', rp, for dist]C;,31 --- - -- -. <br /> µ� <br />