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UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD •••••••.••••••rr•r••rrrr••r•••••••••••••r•r•rr•••r••r••••r•r•rrrrr•rrr•rr••r•r•••rr•r••rrr••rrrr••uru•r•♦ SECTION t - Public Health Services Tracking Sheet will accompany each tank affixed with its site identification number. The Tracking Sheet Is to be returned to Public Health Services 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: Aurora Body Works, Inc. EPA Site # CAD089881759 FACILITY ADDRESS: 446 N. Aurora St. Stockton, CA 9520J. TANK ID #39 - -�7� 9�f3 Tank Description: 550 SECTION 2 - To be Filled out by tank removal contractor: Tank Removal Contractor: Jim Thorpe Oil Inc. DBA Rich -Mart Construction Address: 351 N. Heckman Rd./ P.O. Box 357 City: Lodi, CA Zip: 95241-0357 Phone #:(209 1 462-4581 Date Tank Removed: J Z2Z9:i� •••••••••••••••••••••••••••♦•••••••••••••••r•••rr•r••••••••r••••r••r••r••••♦•••••rr•r rr•u•r r••r•••••••r•rr SECTION 3 - To be filled out by contractor *decontaminating lank': Tank Decontamination Contractor: Jim Thorpe Oil,DBA Rich -Mart Construction Address: 351 N. Beckman Rd./ P.O. Box 357 City: Lodi, CA Zip: 95241-0357 Phone #: ( 2091 462-4581 Authorized representative of contractor certifying through signature below that the tank has been decontaminated in an approved manner as required �by-Cal EPA.. Signature: C2! L C� 'L'C4� j Title: i SECTION 4 - To be tsiigned and ddated by an authorized representative of the treatment, storage, or disposal facility Tank is freeR�itf �� s�udgegipanfl hydrocarbon vapors upon delivery to Schnitzer Steel. Facility Name: Schnitzer Steel Products Address: 12000 Folsom Blvd. City.Rancho Cordova Zip: 95742 Phone #:1 916 ) 985-4810 Date Tank Signature: f� C�� e�r Title: �✓ EH 23 049 (Revised 7-10-92) Page 10 Oil