My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
REMOVAL_1990
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
V
>
VERITAS
>
8282
>
2300 - Underground Storage Tank Program
>
PR0504625
>
REMOVAL_1990
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/16/2024 11:40:52 AM
Creation date
11/6/2018 11:49:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1990
RECORD_ID
PR0504625
PE
2333
FACILITY_ID
FA0009285
FACILITY_NAME
AKSLAND RANCH
STREET_NUMBER
8282
Direction
E
STREET_NAME
VERITAS
STREET_TYPE
AVE
City
MANTECA
Zip
95337-9720
APN
22613019
CURRENT_STATUS
02
SITE_LOCATION
8282 E VERITAS AVE
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\V\VERITAS\8282\PR0504625\REMOVAL 1990 .PDF
QuestysFileName
REMOVAL 1990
QuestysRecordDate
10/24/2017 4:57:08 PM
QuestysRecordID
3696036
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
60
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
WX W LOC,FiL. H DZ ST`E2T(=r <br /> D TANK DISPOSITION TRACK G RE)OORD <br /> SWTION 1 - The San Joaquin Local Health District's Tracking Sheet will accompany each tank <br /> affixed with Its site Identification number. The Tracking Sheet is to be returned to San <br /> Joaquin Local Health District within 30 days of acceptance of the tank by disposal or <br /> recycling facility. The holdgK gf, the permit with number n9ted below is responsWc fqr <br /> ensuringthat this- form -is completed and returned. <br /> FACILITY NAME:T Larry W. Aksland, Inc. <br /> FACILITY ADDRESS: 8282 Veritas Avenue, Manteca, CA 95336 <br /> EPA Site #CAC 000294697 <br /> TANK ID 839- dalq - l - 800 gal . leaded gasoline tank <br /> SECTION - 2 - To be filled out by tank removal contractor: <br /> Tank Removal Contractor: Larry W. Aksland, Inc. <br /> Address: 8282 Veritas Avenue, Manteca, CA 95336 Zip: <br /> Phone: <br /> Telephone: { 2n9 ) 823-7124 Date Tank Removed: <br /> SECTION 3 -To be filled out by contractor "decontaminating tank": <br /> Tank Decontamination" Contractor: Jim Thorpe Oil , Inc. / Nor-Cal Oil , Hauler of rinsate <br /> Address: 351 N. Beckman Road, Lodi , CA Zip: 95240 <br /> Phone#: (209) 368-6175 <br /> Authorized representative of contractor certifies by signing below that the tank has been <br /> decontaminated In an approved manner as may be regulated by Department of Health Services. <br /> SIGNATURE AND TITLE <br /> SECTION 4 - To be filled out and signed by an authorized represnetative of the treatment, <br /> storage, or disposal facility accepting tank. <br /> Facility Name <br /> Address: Zip: <br /> Phone#: <br /> Date Tank Received: <br /> AUTHORIZED SIGNATURE AND TITLE <br /> EN 23 019 12188 <br /> MAILING INSTRUCTIONS: FOLD IN HALF AND STAPLE. AFFIX PROPER POSTAGE. <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ATTN: UNDERGROUND TANK PROGRAM <br /> P. 0. BOX 2009 <br /> STOCKTON, CA 95202 <br />
The URL can be used to link to this page
Your browser does not support the video tag.