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�.. 1001 <br /> nee,Ln uistrict's Tracking Sheet vill'accompany each tank <br /> xed with its site identification number . The Tracking Sheet is to be returned to San <br /> yin Local Hea'_-h District within 30 days of atptan.e of the tanl; by disposal- o_ <br /> -'_inc facility . _bolder of tb-e mrtlt v''�F numb-. no e ' b 10 ' responsbje 'o <br /> -inc :Jot _ora comrileted aw returne-z:, <br /> _: NAGE: CURRY'S WAREHOUSE SALES <br /> ADD:FL 3127 E. Fremont St. Stkn. Ca. l <br /> tae- r�,200 _ o <br /> rXtlXxXx*x1t!!X!!xlStlXSX!!x!l2XXlXX !tt!!xlXxxlXx!*lXttxk*Xx*X***Xxx XXk XX*xx*XxXlxxX!!t <br /> ON - _ - To be filled out by tank removal contractor : <br /> Removal Contractor: STOCKTON CONTRACTING GROUP, INC. <br /> ss: 1000-N. Union Street Stkn. Ca. 95205 <br /> Phone#: (2 1462-5082 <br /> 'hOne' ( ) Ddte Tank Removed: - <br /> xzxx::!lxzxxx:zl::tzlxl:lxlz#!:x*!zxlx:x:x::!!z!t*!zlx:l:xx!l:zx::*!!*z*:x:xzlxlt!!!xx <br /> ON 3 -To be filled out by contractor.",decontaminating tank": <br /> Decotamination" Contractor: STOCKTON CONTRACTING GROUP, INC. <br /> ss: <br /> 1000 N. Union St. Stkn. Ca. <br /> Zip: 95205 <br /> Phone#: (209) 462-5082 <br /> _ized representative of contractor certifies by signing below that the tank has been <br /> an ap ved manner may be re <br /> by Department of Health Services. <br /> *zxxzxzxxxrlX*xx! x!!!x!x*xxx! ltrOlxxl AND TITLE <br /> x 5 - To be filled out and signed by an authorized represnetative of the treatment <br /> QE, o_ disposal facility acceptlna tank. <br /> Zip: 7 <br /> Phoned : 7/�— 9.PP-Foos <br /> .xxxxzzxrXr:xxzxxzzzx::x:ALTMOzRIZEE)xSIGNATURE <br /> AND TITLE <br /> xzxzxzxxzxxxxxzxz.xxzzxxxxxzx:: <br /> iNSTRUMONS: FD:.D IN HAJ� o refax ^ <br /> n <br /> AND STAPLE. ArIY. PR4�FF POSTAGE. <br /> SAN JDAOUIN LUCAL HEALTH DISTRICT JAN 2 6 1990 <br /> A?�: UNDERGROUND TAN} PROMXX <br /> b. b6X 2009 lENVIRQNMENTAL HEALTH <br /> P." ' ' <br /> :ma, CA 95202 PERMIT/SERVICES <br />