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SANJOAQUINCOUNIY .1 <br /> JUlil KIIANNA P.R.FI.NI. <br /> Ilairk Ullit/r r. �* <br /> r.U. Ikra 2009 • (Itiol Com Ilarclhm A,cnacac <br /> ) • Sfkron. "Iffisnlrt 95201 �(Ix0Ar <br /> (209) 1610 3100 <br /> UNUFINiIMUNI TANK 1101511051 110H IRACKINU PF,CUIW <br /> u•,•rrn n•••••,r••..••••••r•••••••r••••r•r••••.•a r•..••••••••••••••r••r•••••••••••.••••••..••••••••••••• <br /> Slir:l Iv11 1 Pnbllc I lenith Scrvices'hncklnp,Shrel will accompany cock Innk alllxed wish hs sire Identl(Icnllon number. '1110 <br /> -It Mrkflip,Shcrt Is its fit-.fr. fit ned br(•oldie I Ica If If services wit itIn 301Inyl of acceirlance of Ibe Innk by Ilie disposal m IcrycIII,g <br /> facility. 'file rerrnll holder Is responsible fill enEaring flint Ihis form Is Completed and relarneld. <br /> W11,111 NAW: Valley Wholesale Drug Co Inc C )9G ff' 00 10224 16 <br /> FAULII Y ADIMESS: 1401 W./Fremont St. Stockton, CA 95203 <br /> IAIIK 11) 939 • I �2 �I '!'onk Description: !,000 gallon gasoline Tank # �Z <br /> ,to.,,••••.r....•...•....••.•......••..•..•...•.••.....•...••••••....r•••••••..••..••.•••••••►r•�►•►►'►►►' <br /> If III ), - 'I'll be Illicit out by tank removal cmdraclor: <br /> Innk Penn will Contractor. JIM 1110101 OIL, INC. DOA RICII-MART CONSTR. <br /> Addrem 351 N. Beckman Rd. , 1/. U. Dox 351 City: Lodi , CA Zlp: 95241-0351 <br /> r11rnle A: ( 2U9 1_368-6115 Date Tank Itauoved: <br /> Sfi(A 1014 .1 - to be filled out by contrndor "Accunlnndnnting Innk': <br /> 'Innk Decunlnndnatlon Cnnnaetur: JIM 111ORPE OILr INC. DDA RICII-14ART CONSTR./Nor-Cal Oil <br /> au er o r nsate <br /> Address: 351 N. Beckman Rd. , P. 0. Dox 351 City: Lodi , CA 71p: 95241-0351 <br /> rbonc A: ( 2U9 ) 360-6115 <br /> Anllimlzrd rrprrscnrnnve td contrncfur cerfined by signing below flint The lank has been decontaminated In an apploved <br /> mnnner as required by the State Department of I lealth Services. <br /> S141rnlrrre: 'I'lllc: <br /> .•r• „ r. r•.r.• .. •.. . •toot••, r..r•.r•• •.r..•.••ir••••r••• . •••r•• ••• • •.••••••.••►• •►►►►••• <br /> YAP) fs lrge t oft sf�.(1c�es an(('hyrlror.ar�2on va�lors u�1on 3q,11very to SrctiNzer Stei`� <br /> $ <br /> IiCi g'a he signed nm d,ted by nn nulhmlced rrpresa 1n11re o the Ircalmenl, storage, or sposal iec 1 j• <br /> nccepting Innk omlArr plphrg. <br /> 1*1111y flnnre: Schnitzer Steel Products <br /> Addlcss: 12000 Folsom Blvd. city: Rancho Curdy Xlp: 95142 <br /> thane 01: ( 916 )_ 985-4810 <br /> Unie 'inrk Iteceived <br /> Signahnc 71110: <br /> •..•...,.,.•.•.••••.•.•...toot•.••..of*.•...•••-••••••.•••••footr••••••••r••r••••••••••••••••►►•►►►H•►•►• <br /> rage to <br /> to 21 no (Rev 2/9/711 w <br /> A bldelnn nF Son 11.T"n(mmq rh.hh Clot Srnk.A \� <br />