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y <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD <br />#++li#f#4f###♦+Mflif#f!lf44i444!##!44!}4##a4!##fff!#fl44fa#►l►fifllfffff►f►►4►4f►1►►►►►l►1►#►►►►4►►►44►►►4f <br />SECTION I - Public Health Services Environmental Health Division Tank Tracking Sheet shall accompany each tank affixed <br />with its site identification number. The Tank Tracking Sheet is to be returned to Public Health Services Environmental Health <br />Division rdUdn 30 days of acceptance of the tank by the disposal or recycling facility. The permit holder Is responsible for <br />ensuring that this form is completed and returned. <br />rACILITY NAME: Stockton Metropolitan Airport E.P.A.li CAC001357712 <br />5000 S. Airport Way, Stockton, CA 95206 <br />FACILITY ADDRESS: <br />TANK II) X39 - <br />TANK SIZE: 3000 1 a"" DEVIOUS TANK CONTENTS: <br />gasoline <br />++++++++la+4««r+#rM+#arra+++aai#+4lrr44##arta4+4+4#!!4►lMfMf444!!4l4f4ff!►fMf►4f►►f►►#4M4►►►N►fN►4►444►► <br />SEC'I ION 2 - To be filled out by tank removal contractor: <br />Tank Removal Contractor: Jim Thorpe 011 Inc. <br />Address: 351 N Beckman Rd./P.O. Box 357 City: Lodi, CA ^ Zip:: 95241-0357 <br />Phone P ( 20_) 368-6175 Date Tank Removed: � a �. � L e <br />44+4!+#lii+lid+li+l+l4♦#1#il4444#44!444!#4###4#4!f!!fl44f44lf41#444!!#f!f#fa+fa!#off#1►4f►4f►41►4844►ff►f4 <br />SECTION 3 - To be filled out by contractor "decontaminating tank": <br />Tank Decontamination Contractor: Jim Thorpe Oil, Inc. <br />Address: 351 N. Beckman Rd./P.O. Box 357 City: Lodi, CA Zip:95241-0357 <br />Phone N: ( 209 ) <br />Audmrized representative of contractor certifying through signature below that the tank has been decontaminated in an approved <br />manner as required by Cal EPA. 1�/ <br />I <br />Name: h1A.L+�r R p2 <br />i4`ank! is!#Feei0#'a#fff�ludgge's' an <br />SECTION 4 - To be signed and dated by an <br />accepting lank and/or piping. <br />Facility Name: Schnitzer Steel Products <br />12000 Folsom Blvd. <br />Phone f: ( 916 _ ) 985-4810 <br />Date Tank Received: -N&1/4'71 <br />Nam—L Tit <br />or <br />Rancho Cordova, CA <br />City: Zip: 95742 <br />+++++#+++4++l4+#r+#+44r+!#r4+#++++•a+tisrMrr++r+«4+rM#4.+44+r+#!!«♦f#ar+a+r++++++#rfl4lw+++a4rl+•#rr♦#r4 <br />Ell 23 046 (Revised 9/11/96) Page 10 <br />