Laserfiche WebLink
SAN J%w.QLM%i COUNTY PUBLIC EEALT4i SERNft<ES <br />ENMOM(ENT.4.i.1MALTE DEVMON <br />'RO(M STORA G,E TANK WFOSITION TRACKING RECORD <br />++Iwrw,x•ertwrrtrtrtrtrwwrty,rrtrt,♦wrt w,..,...,,wrWrwwwwwrtwW,rwrrrtrrrrrw w.•, <br />SECTSON 1 - Public Health Services Envimnmemal Health Division Tame Tr cb�M& Sb= shall a=mpany each rank awed wiu': <br />its site ide=ftcatioa mwxber_ The Tank Trac!ma& Sheet is to be remmcd to public Health Services Ew/lr011 amal Health Division <br />within 30 days of accepm=e of the amk by the disposal or reeding faciir; . The permit holder 1s regxmsible for ersuring that <br />this form is completed and reamed. <br />FACILITY NA,b1E: San Joaquin County Mosquito & Vector Control District <br />FACa= ADDRESS: 7759 South Airport Way, Stockton, CA 95206 <br />TANK M #39 - 1 TANKS=- 8,000 Gal PREVIOUS TANK CONTENTS- Unleaded Gasoline <br />sural W sawryaraasriw <br />Y <br />SECTION 2 - To be filled out by teak removal contraemr: <br />Tank Removal Conawmr. Ramcon Engineering & Environmental Contracting, Inc. <br />Address: 3751 Commerce Drive may: W. Sacramento ZM: 95691 <br />Phone h': ( 916 ) 372-7535 Date Tank Removed: <br />>rtMY�ggeR+l4•wrza♦s++#sae,rrswwsrtwaer+s+artsswwrt+rta+#W rwstsPr+sw<i.sz.rrats3saalrnrwu W r+s+rrurrrr�wwwl•alwwnlww.nwwrrr.. <br />SECTION 3 - To be filled out by Cav -*. *ter ^decoummktaadug Lane: <br />Tank Decom:miaation Contr=or Ramcon Engineering & Environmental Contracting, Inc. <br />Addtess: 3751 Commerce Drive Gd,).: W. Sacramento Zip: 95691 <br />Phone#- 916 372-7535 <br />Audwrrced represemative of rnnaacmr Certifying mrougt signature below that the tams has been decontaminated = an approved <br />mapper as required by Cal EPA. <br />Name: Rollo Stephens Title: Operations Manageftaatnre; <br />irtrt+•w4MMMwMMMriMOt�l►I�gwlYw�•ter••-•••i•Mww.,wwrfy�yyrtwrt �Yyn�uiA•M4wwrtVllY�FrtIRMIrrlprtlF•nk» <br />y ' • •" Y;1� ,• of t�L •I1 NI _ <br />Facility Name:_ <br />Address: City: <br />gip= <br />Phone 1: <br />Dace Tank <br />Eli 23 046 {Revised 1011919 Page 10 <br />