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.. <br />UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD <br />••••••••r••••r•r•r•r•rr••••r•r••♦••r•r••r••••r•••••••r•••••••u••••••••••♦e•••r•r••rr•r••rrr••r••rr•rr••••• <br />SECTION I - 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 Ilealth 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 />FACILI"tY NAME: Aurora Body Works, Inc. EPA Site O CAD089881759 <br />FACILHY ADDRESS: 446 N. Aurora St <br />TANK ID #39 - <br />Stockton, CA 9520 <br />Tank Desctiption: <br />550 <br />......••.•.•••••••....••.••......•........•.........•..•..•••••••••••••..•.••..•.••••••••••••••••••••••••.• <br />SECTION 2 - To be rolled out by tank removal contractor: <br />Tank Removal Contractor: Jim 'Thorpe Oil Inc DBA Rich -Mart Construction <br />Address: 351 N. Bcclanan fid./ P.O. Box 357 City: Lodi, CA Zip: 95241-0357 <br />Phone #:(209 ) 462-4581 Date Tank <br />SFCf10N 3 - To be Tilled out by contractor 'decontaminating tank": <br />lank Decontamination Contractor: Jim Thorpe Oil,DBA Rich -Mart Construction <br />Address: 351 N. Beckman lid./ P.O. Box 357 city: Lodi, CA Zip: 95241-0357 <br />Phone #: ( 209) 462 <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 />Title: <br />SFC ON 4 - To be signed and dated by an authorized representative of the treatment, storage, or disposal facility <br />acce t k to <br />ipin <br />Tank is free �� �� sI <br />geg an� hydrocarbon vapors upon delivery to Schnitzer Steel. <br />Facility Name: 5011'iLzer Steel Products <br />12000 Folscin Blvd. <br />Phone #: (`l 16 ) 985-4810 <br />Date Tank Received: <br />CIIy;Rancho Cordova Zip: 95742 <br />Title: <br />.•..........•••...........•.........•................••..............•.......•.......................... <br />EH 23 049 (aevlsed 7-10-92) Page 10 <br />Oil <br />