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SAN.10'rQUIN COUNTY PUDLiC IiFALTiI SF.RVk4S <br />ENVIRONMENTAL IIEALTIi DIVISION <br />UNDFRGROUND STORAGE TANK DISPOSITION TRACKING RECORD <br />!# 4 #+### H# Ha###NaH#q4#44#44###►q##N##►4!##M►fH♦►►►#4M4♦#44i♦f4if Niii}}I•}►}►}►1►►►►►►►►►►N►►►►► <br />Sf(:"I ION 1 - Poblir. Ilealth Services Envhonmemol Ilealtin Division Tank Tracking Sheet al11 accompany ach Unk affixed <br />with Its site Identllicntloo number. lire 'Tank "tracking Sheet Is to be rennned to Public Ilealth Services 8nvlronrnental Health <br />DivbInn wllhln-30-clays of screptvtce of the tmnk by the disposal or recycling facility. The permll holder Is responsible for <br />rosining flint this roan Is cnmpleted and returned. <br />i'ACIIJIY NAME: Sun West Liquors E.P.A. 0 CAC 001359464 <br />17ACILI I Y ADORF..SS: <br />2449 W. Kettlemarf in., Lodi, CA 95242 <br />TANK II) #39 - �0 3:j$y TANK SIZE: 10,000 9111s.PREViOUS TANK CONTENTS: unleaded easnl;ne <br />ansa.}aa/a♦4««a#####a!f###4#4f4#4lf4###!###4al4f44!!♦4►l4444#!44lf!♦444#4##4♦►##if#•44##fiiil}►iii}►*►iii}• <br />MCI ION 1 - to be filled out by tank removal contractor: <br />lank Removal Contractor. Jim Titot'ue 011 Inc <br />Addnees:__35-1 N. Beckman lid./P.U. Dox 357 City: Lodi, CA Zip: 95241-0357 <br />Phone N: (2UQ_) 368-6175 Dale Tank Removed:_ <br />#..#a•va4««#+«t##a4««#►♦#►4###a4####♦f4##►###4##►###44#####4##44►#ii#ff•#ifi}#iiiNii4f►l►lifi44►!#fiff4 <br />SF(AION 3 - To be filled out by contractor "decontaminating lank': <br />lank Decontmnbrntion Contractor: Jiro Thorpe 011, 111c. <br />Arlrhess: 351 N. Beciauau 11d./P.O. Box <br />Phone #:1 209 ) 368-6175 <br />City: Lodi, CA Zip:95241-0357 <br />AtnhotFtrd representative of conlraclor certifying through signanne below that the tank has been decontaminated In an approved <br />ncmncer as rcqulred by Cal EPA. <br />Nance:_ 1`i C A TIde: &e-% Signature - Date04 <br />Yat is Free of aYF �1l�dgegg an811�yclro�ar#ion va�tors a on defi�ver o�"c�init gr tees. <br />SFC' 'ION A - '1'o be signed and aced by an all wr ze represents Ice of file treatment, sto age, or apoa Icll ty <br />accepting lank and/or piping. <br />rarility Nnme: Schnitzer Steel I'rcxluct.s <br />Address: 12000 Polson 1310. <br />Noone 1: ( 916 ) 985-4810 <br />Dnte Tank <br />Flame:S <br />Rancho Cordovat CA <br />City: Zip: 95742 <br />Ma-a#+##H#1####4M«##�##a##a+##4M#f!4►###i###M#H44Mi#4##4#44H44 N#f4#i444f 44##f►########44###4f#f #• <br />FII 23 046 (Revised 9/11/96) Page 10 <br />