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California Temporary E.P.A. Site Number. . . . . . . . . . . . . CAC0DIW*'71s ?— <br /> UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD <br /> ,uraaaaaaaa araaa ar{,raaaaaaaaaaaaa aa•,aaaaaa••arae roar uaraa aaarrar{ra,,,r,a aaaaa aaaaa,araraaaara„rraara• <br /> SECTION 1 - Public Health Services Tracking Sheet will accompany each tank affixed with its site identification number. <br /> The Tracking Sheet Is to be returned to Public Health Services within 30 days of acceptance of the tank by the disposal or <br /> recycling facility. The permit holder is responsible for ensuring that this form is completed and returned. <br /> FACILITY NAME: Albert Vetter Sr. <br /> FACILITY ADDRESS: 1035 S.Aurora St. , Stockton,CA 95206 <br /> A <br /> TANK ID #39 - / �/ _ b Tank Description: 1000 gallon Unleaded gasoiline <br /> ♦ria,aaaaar♦rrr{r•aaarararr,aaaaaauura+r rrrraaataarrr{r,rraaaaaaa•arara•rararaaaaaaarrraaa•a„arr„a,aaar <br /> SECTION 2 - To be filled out by tank removal contractor: <br /> Tank Removal Contractor: JIM THORPE OIL, INC. <br /> Address: 351 N. BFCKMAN RD. / P.O. BOX 357 City: LODI, Zip: 95241-0357 <br /> Phone #: ( 209 368-6175 Date Tank Removed: <br /> rra{aaarurrrr{{rauarrr r{{a•a•aauraran+rr{aaraaararurraaaarraarrr•ra rrr raa•aarrrr♦ra•uarrraaaaaaaarraa• <br /> SECTION 3 - To be filled out by contractor "decontaminating tank": <br /> Tank Decontamination Contractor: JIM THORPE OIL INC. <br /> Address: P.O. BOX 357 City: LODI Zip: 95741-035' <br /> Phone #: ( 209 ) 368-6175 <br /> Authorized representative of contractor certifying through signature below that the tank has been decontaminated in an <br /> approved manner as required by Cal EPA. <br /> Signature: Title: PRESIDENT <br /> ♦a ar rraagaaau{r♦ •agar, rrr uaararrrrr{ra•ararrrrrraaararrwaaa a••aa{a,raaaarrraa aaaa,taaaarara,u, <br /> *'ank $ piptn� arge Free p �iy sludges aNdhrdroc rbop vapors l of �aeg�i��it� pi� zer Steel . <br /> SCCI'ION 4 - To a si ned and date b an no norize repesentall ve o the reatme or s al �i�� <br /> accepting tank and/or piping. <br /> Facility Name: Schnitzer Steel Products <br /> Address: 12000 Folsom Blvd. city: Rancho Cordova Zip: 95742 <br /> Phone #: 9( 16 ) 985-4810 <br /> Date Tank Received: <br /> Signature: Title: <br /> {raga{rr,raaarrraaaar,r,raaara{{♦,aaaaaa••iiia•♦aaraarraraataaaa,aarr„raatata•,,,rpaaaaa,aa•arr,,,raa{ <br /> ER 23 049 (Revised 7-10.92) Page 10 <br />