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SAN JOAQULN COUNTY PUBLIC HEALTH SERVICES <br /> E.NVERON"N ENTAL HEALTH DIVISION <br /> LNTIERGROUN-D STORAGE TANK DISPOSITION TRACKING RECORD <br /> SECTION 1 - Public Health Services Environmental Health Division Tank Tracking 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: James King Trust <br /> FACILITY ADDRESS: 541 E. Harding Way, Stockton, CA 95203 <br /> TANK ID;39- TANK SIZE: 500 gal. PREVIOUS TANK CONTENTS: Leaded Gasoline <br /> SECTION 2-To be filled out by tank removal contractor: <br /> Tank Removal Contractor: JIM THORPE OIL, INC. <br /> Address: 677 E. Lockeford St. P. 0. Box 357 City: Lodi CA Zip: 95241-0357 <br /> Phone/f: ( 209 ) 368-6175 Date Tank Removed: <br /> SECTION 3-To be tilled out by contractor "decontaminating tank": <br /> Tank Decontamination Contractor: JIM THORPE OIL INC. <br /> Address:677 E. Lockeford St. , P. 0. 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: Tide: Signature: Date <br /> T*an*g is free o a'�`� s U 2n an h,�drocAon vaPgrs t��r rA711 er ;FgI��t pr vel . <br /> SECTION 4 - To be signed and date by an au hortze represen a ive o e ea t, stYir ac t <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 X: ( 9l 6 ) 985-4810 <br /> Date Tank Received: <br /> Name: Title: Signature: Date <br /> EH 23 046 (Revised 08/13/99) Page 10 <br />