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s <br />SAN JOAQUIN COUNTY PUBLIC HEALTHERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD <br />#xrtrtrtrtxxrt###rtrtrtws#s#*rtrt#rtxsss##rtrtrtrt#rt*###*xxs##rtrtrtrtrtrtrtrt*x#s#ssssssssss##rtrtss##rtrt######srt####*w###########ws <br />SECTION 1- Public Health Services Environmental Health Division Tank Tracldng Sheet shall accompany each tank affixed with <br />its site identification number. The Tank Tracking Sheet is to be returned to Public Health Services Environmental Health Division <br />within 30 days of acceptance of the tank by the disposal or recycling facility. The permit holder is responsible for ensuring that <br />this form is completed and returned. <br />FACILITY NAME: DIESEL PERFORMANCE INC. EPA SITE #CAC 002572159 <br />FACILITY ADDRESS: 2900 E. Fremont St., Stockton. CA <br />"7/ <br />d!a0 • <br />TANKID#39-�%i�57�'TANKSIZE: mm' PREVIOUS TANK CONTENTS: Unleaded gasoline <br />####rt#rtxx####*#*rtss###rtrtxx##rtrtrtrtrtss#rtrtrts#####rt#xrtxxss#s*srt#rtrtxsss###**rtssss#rt#rtrt##*#rtxrtrtxsx#rt**rt*rtrt*##ssxx# <br />SECTION 2 - To be filled out by tank removal contractor: <br />Tank Removal Contractor: JIM THORPE OIL, INC. <br />Address:P. 0. Box 357 City: Lodi. CA Zip: 9-5241-0357 <br />Phone #:209 ) 368-6175 Date Tank Removed: be, 00 r�UU3 <br />xs#ssrt*rtxsx##srt#rtrtx#ss#rtrt*ssss####rt*s#s##rtxsss#####rtrtrtxxxsss###*rtws####rtrtss#s#srt#rtxs*****rtsxxss#ss##rtrtrtrtrtrt* <br />SECTION 3 - To be filled out by contractor "decontaminating tank": <br />Tank Decontamination Contractor: JIM THORP OI INC - <br />Address: -P. <br />NCAddress:P 0 Box 357 City: Lodi CA Zip: 45741-0357 <br />Phone #: ( 209 ) 368-6175 <br />Authorized representative of contractor certifying through signature below that the tank has been decontaminated in an approved <br />manner as required by Cal EPi <br />Name:r G �.�� r /t/ Signature: Date <br />#g�rtrt7rtrtx1###ri#nrtrtxxx###rtrt*############################### <br />Tank 5'E&W 4arl%besetgneaan$t19teat�U9�tt$4zA'i 59&gt�evd�'WiiegRRRt,4ft roitd ios h er Steel. <br />accepting tank and/or piping. <br />FacilityName: Schnitzer Steel Products <br />Rancho Cordova, CA 95742 <br />Address: 12000 Folsom Blvd. City: zip: <br />Phone #: (916 ) 985-4810 <br />Date Tank Received: )K O 3 <br />Name:• /�/,2Cc�k<,ir TWA ,Signatur2X � Datck / olk-a3 <br />EH 23 046 (Revised 08/13/99) Page 10 <br />