Laserfiche WebLink
T <br />�.W <br />..0 <br />SA -11 JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENWROIrNWTAL HEALTH DIVISION <br />UNDERGROLTD STORAGE Ti -VK DISPOSITION TRACKING RECORD <br />x#wr«wwMx#rtxvrYiiix##aalxMaaasa#asilW##rtWYa#wa.Iwai####r}.wl++####xw#Yx..#wwwM#Ma+i##i.YYi#alWr#artaff#sxawa <br />SECTION I . public Health Servkm Environmental Health Division Tank Tracking Sheet shall a cotapeay each tank aff=d wit.* <br />;Ls six dennncat:on number. . cs Twk T.ecldn8 She: s to be returned to FuThe Hen ho der is :es onslble ioHe�rin: t.3, <br />wirhin 30 days of acccp=c: of the task by the disposal or racyclLzg facility. The pe F <br />thn `orW is eompteted and re UMM. <br />FxclLITy NAME; Souza 95 Bev@ 18 ft—Property <br />FACILITY DDDR— ESWL W' 11th St. , Tracy, CA 95376 - <br />-ANK ID ,fi33 - TANK SIZE; 7500 gal PREVIOUS TANK CO` cNTS. leaded gasoline <br />aa#.wri#ii... Y##wrr.. Yin###war.+Yr MwwrraxiW ilWYi!#Yxax#wiwaW!#W#a###i9vAexax######w#w..*--xxa#......... <br />SECTION 2 - To be filled out by tank removal conwJaDr: <br />Tim Thorne Oil. Inc. <br />Tank aemaval Contractor' <br />P.O. Box 357, <br />?hone z: (209 368-6175 Date Tank Removed: <br />Ciry:Lodi, CA Z!p; 95241-0357 <br />Y#YaiYi.fYYW W#xYwWxa+a MMMWWiYxarwYxa#rW#xr <br />it arrives at Schnitzer Steel. <br />Tank Deeoatatttinatiat COniraetor: <br />Address: <br />P.O. Box 357 Cs Lodi, CA Z1D:95241-0357 <br />Phone d;I 209? 368=6175 <br />ontractor eeritving through sianamre below &..at the tank,t= I= decontaminated in an approved <br />Autborsed «preseatadve of c <br />manse: as requircd by Cal EPA. <br />Wats•: <br />Title: sigiaa.ue: Date <br />aiv Y.W#xa1 W#a#+A>'M#}#xaMl:.i#i, aYiY .shw....... Ya+Yr W #Yrra#!ra W W'1.11#WaL##W'X.#xallll# W ###xf#x.xxM! <br />SECTION 4 • To be siped and dated b) an authorized represcotative of the Mz ment, storage, or disposal Wility <br />accepting rale andlor Piping. <br />FaclityName: Schnitzer Steel Products <br />Address: <br />12000" Folsom Blvd. , haiicho COrdovai;w A Zip: 94752 <br />.hone y:(916 <br />Date Tarlo <br />Name. <br />Title: Sir-arare' <br />natt <br />akr>rxra#raMYixx##xa#I#xx##iW#Y#aaraY}WYa#airT«t+Yen#x......i........#vJdaax#a.axa#aarxYf4ax#!##rr+riaw• <br />EH 22 C46 (Revised 08113!99) <br />Page 10 <br />