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PUBL_v I XLALrf I SEP" 'ICES i�pip <br /> 1. �� '•� <br /> SAN JOAQUIN COUNTY <br /> f <br /> JO(A KHANNA M 0.,111.1`.11. <br /> Iluhh011i1a �•. . �. <br /> P.U. flux 21109 o (Ion fust Iffcchon Avcnuc) a Slocklun, 011rulnla 95201 t M 5 <br /> (209) 4(&!4110 <br /> UNDIRAMMOUNl) •TANK DISPOSITION IRACKING RECORD <br /> SI:.CI IM) 1 Iralrlic I Iea1d1 Sclvlces•Tracking Sheet will ammillany Cecil tank alllxed wills Its silo Identification nuolber. 1110 <br /> .1 tanking Slices Is 111 he telutned In Pobllc I lenllh SCIVICC6 11101111 JO dnrl of acceptance of Ilia lank by Ilio disposal or Iecycling <br /> Inclllly. '1110 penult holder Is lesponslble fill ensulbng that Oils luau Is completed and returned. <br /> I:ACIU7'Y "AMR: —+�, �, o{e fa�,J � nuc_ �1, EPA 11 xm 79(3 VO q <br /> FACHA I Y ADDRUSS: <br /> 'TANK II) #J9 • Tank Dcscllpllms: o 00 Gallon gasoline) (diesel) (waste oil) <br /> •••...••r•.••:••....•.••..•.•••••••••....•.•.•••••.••••••..•..•••.•..••.•.••••.•••r•••H••1•N••�•••.•••.• <br /> SIiCI Is)If 2 - To be filled out by lank lelooval annnnchn: <br /> lank Itclnnval Connector. JIM 11101P[ OIL, INC. URA RICH-MART CONSTR. <br /> Addlest: 351 N. Beckman Rd. , P. 0. [lox 357 (Aly: Lodi , CA Zip: 95241 -0357 <br /> 209 ) 360-6115 Date Tank (temoved: <br /> •11••••11.11•••r•••n••••••••r•r••••••••.rrn•••1••••••••.•••••••••r••••r••••••••••••••r•••••••••••u••••••••• <br /> 511,C11UN ! • to be filled vol b'y coullnclor "decontnndnadng lank": <br /> 'lank Decontamination Contractor. JIM 1110RIT OIL INC. DBA RICII-MART CONSTR"/Nor-Cal Oil <br /> tau er o r t_ns ate <br /> Addlcss: 351 N. Beckmait Rd. , 1'. 0. Box 351 City: Lodi , CA 'Lip: 95241-0351 <br /> Phnne a: ( 209 ) 360-6175 <br /> Authonlf.cd Icplcuolallve of cunllnctm celtllled Try signhng below Ulnl the lank Iles beets deconlxudoxled In an xpplovcd <br /> Innnnel as requited by the Slate Department of I leallh Savlces. <br /> 5lgnnlule: '1'flle: <br /> . •. •r r• .•••• .• .•• • •.a•••• 11.•11.11 11 ••r•.r••ri11r•.••••. • ••.••• ••• . 11••••••u••• ••r••••• <br /> ran (s JFGa oYaf1 stu ger anti�1ydrocar'Lon valnors h on c�G(wary �o Src�ni��zer S11% <br /> SGC IUN 4 - 'I'o be Ilgoed and dated by an nolhorlfed icli e11 intive u the tleaoncnl,storage, or sposel ( y <br /> occepllog lank and/or piping. <br /> I7ncllily Nanle: Schnitzer Steel Products <br /> Addlcss: 12000 Folsom Blvd. City: Rancho CordoYY.11): 95742 <br /> Phones/: ( 916 ) 905-4010 <br /> Dole 'lank Itecelved: <br /> Sfgnalune: Title: <br /> rage 10 <br /> IN 21 069 (Nov 2/x/911 or , <br /> A blddnn Of¢n Jmgrrin l:nunry Ile drh Ou knlf•f <br /> �J <br />