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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVfdS ENvIBONMENTAL HEALTH DIVISION UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD a#tat#aa#+##aa#!+#a#a•##+!####>#++r4r##4#ii#>r#f##r#+r###art+w;a#•#a!#!l4ww#rw#w4ww#r!>#>!!>r!r!##!>##rwr!! SECTION I - Public Health Services Environmental Health Division Tank Tracking Sheet shall accompany each tank affixed with its site identification number. The Tank Tracking Sheet is to be returned to Public Health Services Environmental Health Division within 30 days of acceptance of the tank by the disposal or recycling facility. The permit holder is responsible for ensuring that this form is completed and returned. FACILITY NAME: Tuff Boy Trailers E.P.A. #X)OX CAL 000035904 FACILITY ADDRESS: 5151 Almondwood, Manteca CA 95337 TANK ID #39 - TANK SIZE: 1100 garREVIOUS TANK CONTENTS: nnl Pgdad ga cnl i ne aatt#ata#+a•rata#•##a+w#r#4#••+;#4+•4#w#r#;#w#r>r»rt+�#rw++###4r##ra##;>#!r#wlf+#wwfrf#rN#♦+#r#r##f##�#!#!r SECTION 2 - To be filled out by tank removal contractor: Tank Removal Contractor: Jim Thor2e Oil Irrc. Address: 351 N. Beckman Rd./P.O. Box 357 City: Lodi, CA zip: 95p24g1-80357 Phone ff: ( 20_) 368-6175 Date Tank Removed: at*aaa4at###ata#a•##t###;r###w#•#w#rf#!•4#r#f##w##}#;##t##r#4###i#r#rr!!#fr#;w#>#wwa#>i#>!#!!#f;#r##4#!>!#+ SECTION 3 - To be filled out by contractor "decontaminating tank": Tank Decontamination Contractor: Jim Thorpe Oil, Inc. Address: 351 N. Beckman Rd./P.O. Box 357 City: Lodi, CA Zip:95241-0357 Phone M: ( 209 ) 368-6175 Authorized representative of contractor certifying through signature below that the tank has been decontaminated in an approved manner as required by Cal EPA. / Name: R 'AAP-D ��pe Title:eae Signature �i-0 aQ Date �f t aM+a ##t# ## •• ## ####•ra ♦ 4# ; '1`anR is ##ree of a'�f s"fudges ani 11 drocar6on vapors upon d�eivery o Schnitz facility 3 . SECTION 4 - To be signed and dated by -- authorized representative of the treatment, storage, or disposal�actlrty accepting tank and/or piping. Facility Name: Schnitzer Steel Products Rancho Cordova, CA Address: 12000 Folsom Blvd. City: zip: 95742 Phone A: ( 916 ) 985-4810 Date Tank Received: 11�'� (Z 4 Namebold.A L- Weap� Title: r h^oJee- Signature: Date aaaataata#tr•aaaa#•44aif#art#####art•a•#•r#ti#4+#w+a##!##y•#l++;#4#+f•#;rw4rtw4r+#ww►#rr#;!r#w!>ai#!4#i#r4! EH 23 046 (Revised 9/11/96) Page 10