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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD <br />+++4+.++4+44r4r!l+44rl+r4r4•!44##++«rrr#!#r4.4}!4+«44#.}##}4rl4+4r4t4+r4414►r4r+►►*+►►+►►►►►+►►}►►►►►►►}►}► <br />SECTION t - 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 within 30 days of acceptance of the tank by the disposal or recycling facility. The permit bolder is responsible for <br />ensuring that this form Is completed and returned. <br />FACILri-Y NAME: Stockton Metropolitan Airport E.P.A. # CA0001357712 <br />FACILI'T'Y ADDRESS: 5000 S. Airport Way, Stockton, CA 95206 <br />TANK ID #39 - TANK SIZE: 3000 65a11oN13VIOUS TANK CONTENTS: 91Ds line <br />+#+++##+}#4«######444#4♦♦4l444+•r44###44+444##f!r}4+t###!!#44444!!4#444444}4444+44►►!l►►►►►►►►►►►+►4►►►l►►► <br />SECTION I - To be filled out by tank removal contractor: <br />'tank Removal Contractor: Jim Thorpe Oil Inc <br />Address: 351 N. Beckman Rd./P.O. Box 357 City: Lodir CA -7 Zip: 9 524 1-0 357 <br />Phone J: ( 202_) 368-6175 Date Tank Removed: 0` /;el <br />4#4r.##.########r#!4#4rr4l444#}4;4444##}}4!}}!N}}l4►4!!«44+4rt4►4!!!►!4!!}l►4►►►*►}!}►►►►►►►►►►►►►►►►►4►#'� <br />SECTION 3 - To be filled out by contractor "decontaminating tank": <br />Tank Decontamination Contractor: Jim Thorpe Oil, Irtc. <br />Address: 351 N. Beckman Rd./P.O. Box 357 City: Lodir CA Zip:95241-0357 <br />Phone I: ( 209 ) 368-6175 <br />Authorized representative of contractor certifying through signature below that the tank has been decontaminated in an approved <br />manner as required by Cal EPA. <br />Name: Title: �/ i� Signature:}} Date �7 U <br />'Yank° i s `f <br />SECTION 4 - <br />Facility <br />Address: <br />To be signed and dated oy an <br />accepting tank and/or piping. <br />Schnitzer Steel Products <br />12000 Folsan Blvd. <br />Phone /: ( 916 ) 985-4810 <br />Date Tank Received: -.J I ctz /yam <br />Name: 5asy ll f Tide: <br />Rancho Cordova, CA <br />City: Zip: 95742 <br />4}444+###r4}+4r#rr!#}###+##+r4r#+#4♦#444###♦rr#++t#.r#4rr4!#### <br />Ell 23 046 (Revised 9/11/96) Page 10 <br />Date <br />14 <br />