Laserfiche WebLink
PU EC HEAfrH SEP.71CLS g.. .r <br /> SAN JOAQUIN COUNTY „ L <br /> IOGI HANNA M.O.,MAIL <br /> Health OlIkel4 <br /> P.O. Not 2109 a (IWI F.asl lluchon A%Trlmr) a St 1111111, 0111011112 95201 ��tIPBd�� <br /> (209) 41.8 3400 <br /> UNDERGROUND TANK DISPOSITION IHACKING RECORD <br /> •.•••••••••.•.••••r••r•••r••••r••rr••••••r•••r•r.r••••.••••••rr•••••r•r••••r••••••r•••r••r••r•r•••••••••••• <br /> SItCI ION I - 1'nb11c Ileabh Set Vices 'It ncking Sheet will accompany each Innk affixed with Its site Idenflflcatlon number. Ilia <br /> llarking Sheri Is to he returned to Public I Ira 1111 Services wl1lsin.10_tiny+of acceptance of tine lank by the disposal or recycling <br /> facility. 'Ilia permit bolder Is responsible lot ensuring that this fossil Is completed and returned. <br /> rACILITY NAME: Valley Wholesale Drug Co Inc. 001022416 <br /> FACIIA I Y ADDRESS: 1401 W. Fremont St. Stockton, CA 95203 <br /> 'LANK ID #39 - � � 'lank Descrlption: 1 ,000 gallon gasoline Tank II &0.5 <br /> SI?t'I WN 2 - Its be filled (pill by lank removal contractor: <br /> fnnk Removal conUaclor: JIM TIIORPE OIL, INC. DBA RICII-MART CONSTR. <br /> Address: 351 N. Beckman Rd. , 11. 0. Box 357 city: Lodi , CA Zip: 95241 -0357 <br /> Phone p: ( 209 ) 368-6175 Date Tank Removed: <br /> •.•rr•rr•••rrrr•rr••••rr•••.r••rrr••••••rr••rrrrr•••••..••••r••••r•rrr••••••••••r•••••r••••••••••••r••••u• ' <br /> SF.'(,11014 3 - to he filled out by conUnclor 'deconlmninathsg lank": <br /> 'Innk Decontamination Contractor: JIM 111ORPE OIL, INC. DBA RICII-MART CONSTR./Nor-Cal Oil <br /> 11au er o r nsate <br /> Address: 351 N. Beckman Rd. , 1'. 0. Box 357 City: Lodi , CA Zip: 95241 -0357 <br /> rhoec N: ( 209 ) 368-6175 <br /> Authurlted representative of cuntrnctor certified by signing below that lire lank has been decontaminated In an approved <br /> manner es required by the State Department of Iiealth Services. <br /> Slgnntrne: '1'111c: <br /> *(as• .• •. •..r.• •. ... •...•.•. r..r..... ..••.•...i••.•.•.•• ••rr•. .•. . ••••••••..•.. •....••• <br /> nk of-so Tree oY all sfu8ges a#oW)iydrocar{ron vattrors upon dgIlvery Eo S�cEiriitzer St � . <br /> SFGI ION 4 - To be slgncd and dated by an authorized represesllnOve oI lire teatment, storage, of disposal 7acIIII <br /> ncccpling lank and/or piping. <br /> racflity Name: Schnitzer Steel Products <br /> Address: 12000 Folsom Blvd. city: Rancho Cordo Zip: 95742 <br /> rllune a: ( 916 ) 985-4810 <br /> Date 'Innk Itecelved: <br /> Signature: I'Itle: <br /> ...............................................................••••.•...••••...•.•••••rr••r••r••••••••••rr <br /> rage 10 <br /> ra U e69 rxev 2iei91) yr <br /> A w4onn of s•n)n+Tdn Cnunq Irulih Gu 5co4ccs \� <br />