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I <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD <br /> 4fi#+tt*ti#tfrti#fi44+l4lf4*#44*#f#Fr#f!#iiff4f•il4t#!4i#*ff4f*4#+rtf4*ff!►ilrf4ff4t►fir#4fr►r►►►►fr►►►►►ff4r <br /> SECTION 1 - Public Health Services Environmental Health 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 Health 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. E.P.A. li CAC CAL 000057083 <br /> FACILITY ADDRESS: 5000 E. Fremont Street, Stockton, CA 95215 <br /> TANK ID d39 - 1553-05 TANK SIZE: 2,000 PREVIOUS TANK CONTENTS: Waste Oil <br /> i++#+#+i4t#rtrtiritt#++#rrf444iti*+rt#i4#foliii+ti*#44#f#4fl4t+4fltri*#r►r#44*4♦++4#4/f#f**!#rfr*#►#i##*4rr►ff <br /> SEC'T'ION 2 - To be filled out by tank removal contractor: <br /> 'rank Removal Contractor: Jim Thorpe Oil Inc <br /> Address: 351 N Beckman Rd./P.O. Box 357 City: Lodi, CA Zip: 95241-0357 <br /> Phone N: ( 20_) 368-6175 Date Tank Removed: 5/21/98 <br /> ##ii##ti##rttr##*i►!fi*ir#«ittf4*#tifrti#+#4444++rift*if*frtlf#fr!►afttt#rtt###fii#+ft■##4#i#il►►►►►►►►4rfrff <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 /> Phoned: ( 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:Martin Thorpe Title: VP Signature: 94 fe 5/21/98 <br /> *# *t *****i ## ro5ar on van <br /> r!s ugo*if # ►4rr#►► r► rr►Itr►lf*r frf► flirt#i <br /> flank is free of a"Yfi slud�es an� 1�yydroCCar6on vapors uppon d'el'iveryy cdhnit��r �teei . <br /> SECTION 4 - To be signed and dated by an autfiorized representative of the treatment, stoFage, or tspos acil ry <br /> accepting tank and/or piping. <br /> Facility Name: Schnitzer Steel Products <br /> Rancho Cordova, CA <br /> Address: 12000 Folsom Blvd. City: Zip: 95742 <br /> Phone d: ( 916 ) 985-4810 <br /> Date Tank v d• <br /> ��rort4t/6 <br /> Name: Title: Signature: Date <br /> +#*++++*#++rr++*##r*#tr++rt+++t+++t*r♦irtrtr+*+ir*rr**4t*++►+rti+rt+rf#*#*++►rfrla►rwrgfrfri►rr+rr►►rf*rrr <br /> Ell 23 046 (Revised 9/11/96) Page 10 <br />