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i <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD <br /> l+fi4f!lF4+fr+frFF4rlfr\rrr4+}#\#fro\f##fia#r+r4♦#4F4fifial4r\titl44\r\\r4}f1►;(111114►f;fl►aaf►;1ala;aaaflaaa <br /> SF.C'I'ION I - Public Health Services Environmental Ilealth Division Tank Tracking Sheet shall accompany each tank affixed <br /> with its site identification number. The Tank Tracking Sheet is to be returned to Public Flealth Services Environmental Health <br /> Division within 30 days of acceptance of the tank by the disposal or recycling facility. The permit holder is responsible for <br /> ensuring that this form is completed and returned. <br /> FACILITY NAME: Panella Trucking, Inc GPA # CA$,, 0000 S7o $ 3 <br /> FACILITY ADDRESS: 5000 2 Fremont St. , Stockton CA 95215 <br /> TANK IU p39 - LJ3-6 S TANK SIZE: 2,000 PREVIOUS TANK CONTENTS: W tp, ni r <br /> ♦+#+.Mir++f r4ff#}f4l+#r#♦+44r4}\r}4}44##F\##r\##ff4}\}\rl+444}\4+r44444#44\If\►f#1f♦►►a►1alflfa;►fa►4;ff;;f <br /> SECTION 2 - To be Filled out by tank removal contractor: <br /> tank Removal Contractor: Jim Thor e Oil Iuc. <br /> Addtess: 351 N Beckman Rd./P.O. Box 357 City: Lodir CA Zip: 95241-0357 <br /> Phone K: ( 2_ 09 ) 368-6175 Date Tank Removed: <br /> ##++##++f++#affr4+#+r+44}}a44#r4#f##44rrr+\##F4#r#f}4444#\#f\ar#a44#44!♦4#►1l/ffff/1f#fflf►/►lila((;ala#af4 <br /> SECTION 3 - To be Filled out by contractor "decontaminating tank": <br /> Tank Decontamination Contractor: Jim Thorpe Oil, Inc. <br /> Address: 351 N. Beckman Rd./P.O. Box 357 City: Lodi, CA Zip:95241-0357 <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 EPA. <br /> Name: Title: Signature: Date <br /> }} +tf;f #\•+}f #} 4 }f /}}4•!a 4 }\ #l4a14 F1444F\lf44f\f41#f♦ \�1/}►f►f{►aya n�t ffra tee}N4aff; <br /> Yank is free of a'Yf kludges an$ 11yyc�ro�arbon vapors tt on d+e ivery, o <br /> SECTION 4 - To be signed and dated by an authorize represents Ive of t e treatment, sto age, a- epos acil ty <br /> accepting tank and/or piping. <br /> Facility Name: Schnitzer Steel Products <br /> Rancho Cordovan CA <br /> Address: 12000 Folsom Blvd. City; Zip: 95742 <br /> Phone /: ( 916 ) 985-4810 <br /> Date Tank Received: <br /> Name: _Title: Signature: Date <br /> #rf+4+r+f##4\44#4#f♦\4\4#44444\4F\\Fr#if+rF4F4f F4#\r4}}rrF#♦4+#4rF\\\\afr444\\\off\#1F►f1►►►f1lfff#}fa►fa <br /> Ell 21 046 (Revised 9/11/96) Page 10 <br /> I <br /> 1 <br />