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"M THORPE - FORD CONSTRUCTION <br /> 639 E. Lockeford Street I JOAQUIN LOCAL HEALTH 019TRICT466-678.1P. 0. Box 357 16111` E. Hazelton Ave. -Phene : 466-67� <br /> Lodi , California 95241-0357 P.O. Box 2009 Stockton, Ca. 96201 <br /> (209) 368-0109 Approved <br /> July 11 , 1986 ❑ Approved with c'canea : See Remarks <br /> ❑ Disapproved; See Ros:arks <br /> San Joaquin Local Health District Remsrks <br /> 1601 E. Hazelton Avenue _ <br /> P. 0. Box 2009 Date <br /> Stockton, CA 95201 Approval of ., es:; ;dans extends oc <br /> i.. <br /> Re: Permanent Closure/Tank Removal Plans that yr ich is :ho .: and describLdon but does not au"horize or a ;rcva <br /> anp missi n or d,viation of require_ <br /> 1 . Owner/Operator: Amerigas Ptuegg= ag <br /> --nte: � P 11-meati ordingnc!!K <br /> Facility address:840 N. Sacramento Street, Lodi , CA 95240 <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 currentlL orpr reviously stored <br /> i #7 1 ,000 Gasoline jAA � <br /> 5. Laboratory that will collect soil samples Canonie Engineers <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 <br /> 7. The tanks will be purged of all flammable vapors to preclude explosion or to <br /> levels specified by existing regulations by 'dry ice, 15 lbs, per 1000 gallon <br /> 8. Method of disposal or reuse: tank will be shipped to Triangle, Ince, 52nd StrpPt, <br /> Sacramento for disposal . <br />