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SAN JO QUIN COUNTY PUMAC DEAL -17111 SFRVI65 <br />ENVIRONMENTAL IIEALTII DIVISION <br />UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD <br />«aar««rrrrrrrar♦rr++#•rrrwrrrrrarr•rrrrrrr+ararrr#rararrrarrrrrrrr•rrrrrrrrrrrrrrrrrr►►Mrq►4►►4►►4444►►► <br />SECTION 1 - poblie Iiealdt Services Fnvhonntewril Ilealth Division Tank Tracking Sheet shall accompany dch tank affixed <br />Willi Its she identification number. the 'Tank Tracking Sheet h in be returned in Public Health Services Environmental Health <br />Division nilhin M days of acceptance of the rank by the disposal or recycling facility. The permit holder Is mponslble for <br />ensurbtg dint 11111 form Is completed and returned. <br />PACIIJUY NAME: Sun West Liquors E'.P.A. 11 CAC 001359464 <br />rncN.rry nDDRFss: di <br />2449 W. Kettleman Ln., Lo, CA 95242 <br />TANK ID 839 - 5Z 3 3690 'i'ANK SIZE.: 10,000 ga1s.PREVIOUS TANK CONTENTS: unleaded gasoline <br />a1aa, H alas «naafia#+♦+++#+#H#++#++++HM+N+#Nair#a##+ar Na HaraHr♦++rarrra raf rrrrgrrrrrrl!rr4rrr4NNrrr <br />SECTION 1 - to be filled out by lank removal conhactor: <br />lank Remnval Conuactor: Jlut 'Thorpe 011 I llrC. <br />nd,hcl/:351 N. Beckntau Rd./P.U. Box 1157 City: Lodi, CA zip: 95241-0357 <br />Phone 1: ( 209_) 368-6 F Date Tank Removed: <br />}H«.alaha«Nralr++aN+♦Nrr44 NaNrNNNarrarrMNfaarN Nr Nar MrMNrrr Mrra Naa rrrN lNN4*rrrrrr+rr <br />SECTION I - To he "lied out by contractor "decontaminating lank": <br />Iank lwonmmination Contactor. Jlin Thorpe Oil, Inc. <br />Address: 751 N. Beckman Rd./P.0. [lox 35'T City: Lodi, CA ZIp:95241-0357 <br />Phone #: ( 209 ) 368-6175 <br />Amthotlrrd nrprrscomilve of contractor certifying Umolrgh sigonune How dint the tank has been decontaminated in an approved <br />nuo net ni ictlulted by Cal <br />EPA. <br />Nantes Signature: i <br />a ,ra • ... Naafi♦ +aa + N rrraarr + ++1�ra#rr a+NNNN♦:+++rra.t«e��Ver..forr flltr4rr tee3444►►4r <br />lank is Free of al`i ludyes anc11V(Io�amon valrors u�1on L ��i g <br />517,11 ION 4 - fo be signed and dated by an not tot ze represenln Ire of the treatment, sto age, or apo! act) ty <br />accepting lank and/or piping. <br />rnclllty Nntne: Schnitzer Steel Products <br />Address: 12000 rolsout Rlvrl. <br />Phone l: (9 I6 ) 905-41110 <br />Vnte Tank <br />Rancho Cordova, CA <br />City: Zip: 95742 <br />Nance: � _ ob1eS Thle: �,_yai�_Signature Date 7 AtA.115 <br />II�Naartan+rMra#+♦++♦+N+Nr#++Na+raaa♦naafiaN#araN♦aaraara♦ar#tar♦tar•rrrrar4rrrlrrrr4rr4rrrrr►rrr►rr <br />En 23 046 (Revised 9/11196) page 10 <br />