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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION ' <br /> UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD <br /> SITE 141111BER n <br /> SECTION I - Public Health Services Environmental Health Division Tank Tracking Sheet shall accompany each tank affixed <br /> with its-site identification number. The Tank Tracking Sheet is to be returned to Public Health Services Environmental Health <br /> Division within 30 days of acceptance of the tank by the disposal or recycling facility. The permit holder is responsible for <br /> ensuring that this form is completed and returned. <br /> FACILITY NAME: FORT OF SiOCKPON EPA RAL 000041551 <br /> FACILITY ADDRESS: 2201 WEST WASHWIM STREET, STOCIMN, CA 95203 <br /> TANK ID 39 TANK SIZE: 250-1000 G PREVIOUS TANK CONTENTS: DIESEL <br /> SECTION 2 -To be filled out by tank removal contractor: <br /> Tank Removal Contractor: JIM THORPE OIL INC <br /> Address: 351 N Beckman Rd P n Box 357 City: t nidi , CA Zip: 95241-0357 <br /> Phone K: 2(09 ) 368-6175 Date Tank Removed: Jan 5. 1999 <br /> SECTION 3 -To be filled out by contractor "decontaminating tank": <br /> Tank Decontamination Contractor- JIM THORPE OIL, INC. <br /> Address:351 N. Beckman Rd. , P.-O.Box 357 city: Lodi , CA Zip: 95241-0357 <br /> Phone no: ) 368 6175 <br /> Authorized representative of contractor certifying through signature below that the tank has been decontaminated in an approved <br /> manner as required by Cal EPA. ��� <br /> Name: Martin Thorpe Title: trp Signature: p/ 1 r��t'„Z--Bate 1/4/99 <br /> S> CT1L�Nf4reeio0bfe sgnedSan �age�1 ��flo4fi���P�lesv �ttiv�e �P� t��aMr4iotfaQeSOY' 1* sParfaSttl*x#+*#*## <br /> accepting tank and/or piping. <br /> Facility Name: SCHNITZER STEEL PRODUCST <br /> Rancho CordovaCA 95742 <br /> Address: 12000 Folsom Blvd. City: Zip:, <br /> Phone H: 9( 16 ) 985-4810 <br /> Date Tank Received: I ` <br /> Nane:tt.r�� d ��Ll/� Title: We. S�C� Signature: Date A k <br /> EH 23 046 (Revised 9/11/96) Page 10 C <br />