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"M-4woORPE - FORD CONSTRUCTION <br />`r 639 E. Lockeford Street Iwo <br />P. 0. Box 357 SAN JOAQUIN LOCAL HEALTH DISTRICT <br />Lodi, California 95241-03571601 E. Hazelton Ave. -Phone: 466-6781 <br />(209) 368-0109 P.O. Boa 2009 Stockton, Ca. 95201 <br />May 7, 1986 ® Approved <br />❑ Approved with changes: See Remarks <br />San Joaquin Local Health District E] Disapproved; See Remarks <br />1601 E. Hazelton Avenue Remarks <br />P. 0. Box 2009 <br />Stockton, CA 95201 Date <br />Re: Permanent Closure/Tank Removal Plans Approval of these a extends o; �c <br />that w ash is Ehoan and described uere- <br />1. Owner/Operator: Hilda Burkhardt on buf hnll.0 X68-415orize or approve <br />Facility address: 5154 Hogan Lane, Lodi CA 952'' omission or deviation of regpire- <br />,a o= ��rtc lass ox-xocai Ordinances. <br />2. Parcel plot plan showing tank(s) to be removed attached. <br />3. Contractor Name: JIM THORPE - FORD CONSTRUCTION <br />Contractor Classification: A <br />Contractor License Number: 391570 <br />Certificate of workers' compensation insurance on file in your office. <br />4. Tank # on plot plan Tank Size Products currently or previously stored <br />1 approx. 350 diesel <br />2 approx.550 regular gas <br />5. Laboratory that will collect soil samples Canonie Engineering, Inc. <br />A signed "Release of Information Authorization" is attached. <br />6. Method of disposal of all residual liquid, solids, or sludges, if applicable: <br />N/A tanks "empty" for years "no water" "no liquid" bone dry. <br />7. The tanks will be purged of all flammable vapors to preclude explosion or to <br />levels specified by existing regulations by inserting 5 lbs. of dry ice <br />into each tank. <br />8. Method of disposal or reuse: contractor will have the t <br />the county to Sacramento to be cut up into scram iron. <br />