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. , t <br /> SAN JOAQUIN COU111'Y PUMAC 111+'ALT11 SFRVICIrS <br /> ENVIIIOMAIFNtAL 111FAL'Tll DIVISION <br /> IINUFR(vRUUNI) STORAGE 'TANK I)IS1'0S1'I'1ON TRACKING RECORD <br /> rr++++++++r4«r++rrrrr+rr«r►++««+«+►++rrrrt►torr►tt4!##tort#tttttt#.444.444#4444*444444#44 <br /> 411-,t"TI0rl I - Public IIr'nfth .S'rlvIrel r?rtvirnumr."l l [!raid# f)ivisino Wank Tracking Sheet shall ttccomparfr e4ch hank aft! ed <br /> vvlih It-v Or ldrnrlflrarlrnt nnnrbrr. the 'I'auk Tracking Sheer Is to Ire rennnerl to public Ilealth Service! P_nvlronmmntsl Health <br /> Irlvlaimm %vilhfit J0 clava of arreptmnre of the Ill by the, dispnvml or recycling faclllly. 'The permll holder Is responllble for <br /> rnsu111IR tient ills rutin 1s cnmpleterl and returned. <br /> I'A('fl.11 Y NAMP Sun West Li-quors`�—- E'.P.A. # CAC 001359464 <br /> 2449 W. Ketti-erma.n Ln. , Lodi, CA 95242 <br /> i'At11.1l Y AIMRPS.4: ___ __---------------•-- — <br /> IA11K II) N.19 - --"TANK S17-r: 10,000 gals.pltli MUS "TANK CONT'EN'TS: unleaded gasoline <br /> rr•.�.►•a►..«.++++++++►+•++rra+ar«++«•««++++•+++++►*+++++r+++++++►r+r+rr►rr+rrr#ttttt#t#tt#44�F,tt+►t4###.44t#44 <br /> Sf.c'f MN l - In be filled out by [milt tevinvnl contractor: <br /> lank Rrnmvnl C'mntrmrtur. Jim '11101'LC Uilr�ittc. <br /> Arldrrt.r: :35_jA.,. Uecltman 11d./[.U. Dux J5( City: Lodlr CA Zip: 95241-0357 <br /> )'fhnnr ,1: ( Z09 )--36s3-G l i, Date Tank Removed: C 9Y <br /> Of 44 r4&60440-4*+�+++�«++1«+M+++++++A�+++M+++++�+««+r++++rr«+«�«+Mt •ttirt4#itttt#ritttt.4t4#.4.4.4444##♦#444.4t4 <br /> SF(A ION J - Io be filled ont by conlinchr "decottgnntinating lank": <br /> lank I)ccrmtmninaticm Contractor: Jim 'llioupe 011, 111c. <br /> -- -- — I,�rdi cn 241-.0357 <br /> ArlrIll 351 1l. IJcc:lcrnan lid./P.O. Box 35'1 City: r Zip:95 <br /> I'bonr. l: ( 209 ) 366-61'15 <br /> Amliml7rd irhrr.mimilve of conamctnr cerlifyirrg through signature below that die tank has been decontaminaled In an approved <br /> mm11arr as Milil rrl by (-',it FPA. <br /> flame: �jC�ii1-�'� 1itle: /fie Slgnalute• /" bite O <br /> � {�i ���+• «r+++� +ia + ♦► vert+## a +r rt«rrt air+rrr««►!t!**!#++ # tt4tit t# #rn <br /> 4 #t4#.4 <br /> ar�l~C i s I vee o ga �r 11J t1y �y soli 1�yr11•o�arbon vapors IIIton cue t�ver�+gin �� t�gr <br /> Sr(, MN 4 - f'n be ti nccl and dales t an mal tot r.e to rr_settlm ire of Ifle treatment sto Age, or ! Ad t <br /> acrrp1lnR milk and/or piping. <br /> parlllry Ifnn�r.: Scluii.L7er• ;!,eel I't•ochu�t.;� <br /> I7.O(1U i'c�lsCmn 11.1vd, ii:►rtcho Cordova, CA <br /> ZIP: 95742 - - <br /> I'hnne fi: ( 916 ) gf35--11810 <br /> )n!r I'ank rttrelved: <br /> Irntc:S� d �S_ IIIIe:Ny - ��/ Signature: Date 1 rs��1� <br /> 1�+�•If1+++++++++«+r++++r++►•++++err+r+++r+r+++++4++4trr4r++++++rrrrrrrtttr►ttr#ttrtt##4#t.44.44i.44t#.444.444 <br /> � E <br /> 11 21 0,iii (fill 9111196) Cage 10 <br /> I <br />