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HEAEfH SEI?� JCES <br /> PUBL4_j <br /> SAN JOAQUIN COUNTY `3 <br /> 1 <br /> )(X;I Ki#ANNA M.D.,1<f.F.II. <br /> IIcal+h 011kci Nt <br /> r.U. nox 2()09 • (1 01 F.as1 1lar.[Iton Avenue) • Stockton, 011ftxnl2 95201 <br /> (209) ma-341x) <br /> 11NI)rRGROUN1) 'TANK I)ISI'USI']']ON THACKIN(; RECORD <br /> 644**r4*►r•►1141r4r►0rrrr►►606►,rrr►rrrrrrrrr►►r46►0rr►rrr►0r►►60►6►r►r6r66r0♦►►rrrrr►6r66►0r6*�+,6,06,•6►• <br /> Sr-'(.:I 1()N I 1,111)[1c 11C.11111Setvlcc5 'I'(acklup Shcel will accon <br /> , pnny each tank affixed Willi Its site Iden tlllcalion number. 111C <br /> .1 Sheet 1.1111 be returned to Public 1 lenitlr Servlcc-c 1"Itltln 30 days of acceplance of lite lank by Ilse disposal or recycllnK <br /> Iaclllly. 'I lie Permit holder Is responsible tot ensuring Ural tills join, Is completed and returned. <br /> CAC:ILIIT NAM13: Grand Auto Store EPA # <br /> i'ACILII'Y ADDRESS: 240 N. California St. Stockton, CA 95202 <br /> �G — L'_ 'Tank Descrl )llon: 3'000 Gallon (gasoline} (diesel {waste oil) <br /> '1 ANK 111 A',19 - Tp /._; � � I . <br /> of$0000►000#Poo►,rrr►4rrrrr44 tot rr**•**$0066060004.6666rra6rrrrrr►••r6►r0r0►►0►r•0rr0r►rr►►r66►►►0,6,,1666 <br /> SI.('I TUN )_ 'Co be filled oul by Innk removal conlraclor: <br /> 'I aitk Rtmoval Conlraclor: JIM THORPE Of L, INC. DBA R I CII-MART CONSTR. <br /> Arl,iress; 351 N. Becklnan Rd. , 11. 0. Box 357 Gly: Lod i , CA Zip: 95241-0357 <br /> 209 ) 368-6175 Dale 'Tank Removed- <br /> fill r*4►r4rrr►rlr►4►1►►••rlr6rr rr rr►►4►rrr►r►rrr6frr►r►►6r6r1►rrrr6r6r6►►6,66,61►660006066,6,66►rib►► <br /> SF(:,TUN 3 to be filled out la'y cc)trlraclur "decontaminating lank": <br /> 'Innk Dectrnlnntlnath)n Conlraclor: JIM THORPE OIL, INC. IBA RICII-MART CONSTR./Nor-Cal O11 <br /> au er of r nsate <br /> Address: 351 N. Beckman Rd. , V. 0. Box 357 Gi(y: Lod] , CA zip: 95241 -0357 <br /> Phone d'; ( 209 1 368-6175 <br /> At)lhorh,ed represertrative of conlrnclor cerllfied },y signllig below Thal the lank Inas been decontaminated In an approved <br /> ntannet as required by the Slate Department of I Iealth Service-s. , <br /> Signnirrrc: Title: <br /> of <br /> *a •• 1« 4,666 as *4• • ►«•664•• rr•*►44rr r•►••►rrrif646r66r« • �*6•rr• rr• r ,•,,,►46616,6 6.666666 <br /> dank �s fiFee o� all st11 ges rine �Itydrocarvat)ors uron c����very+ �0 5'c;ir]id�zer tel�� ' <br /> SFsC 1 TUN 4 - '1`o be signed and dated by an nathnrlxcd rel►reser InNve o lite lrealntent, storage, ur sl)osal faC 1 y <br /> 1,ccrpling lank and/or piping. <br /> Family 1`10111e: Schnitzer Steel Products <br /> Address: 12000 Folson) Blvd. CUy: Rancho Cordo Stip: 95712 <br /> Phone d': ( 916 ) 985-4810 <br /> Date 'Iank Itecelved: <br /> Signature: 'i 111e: <br /> ►•a•♦art«•r*rr•rrr4r6R6rr1«4*1•rrrr«•ra00too•r*rrr«r•Soo rrrrrlr066 too <br /> rr6►r►rrrr4rr6r4rrr6r►66,666666660066 <br /> rage IU <br /> EM 23 449 (Rev 2/8/91) ►+p <br /> A hr+l.ilnn or S+n)nrrrdn(:aunt,Pic*Irh f.4m kntcc.r <br /> �� <br />