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0 00 <br />0Ji Thorpe Oil, Inc. <br />j 351 N. Beckman Road • P.O. Box 357 0 Lodi, CA 95241 <br />(209) 368-6175 0 (209) 462-4581 <br />Contractor's License #495699 <br />`_ a ,/-YAf7 <br />San Joaquin Local Health District <br />1601 E. Hazelton Avenue <br />P. 0. Box 2009 <br />Stockton, CA 95201 <br />Re: Permanent Closure/Tank Removal Plans (a, Rt) Y!, 3_7999 <br />1. Owner/Operator: m1Ch,4e/ A Po/% <br />Facility address:_//gip u,!A4-t <br />2. Parcel plot plan showing tank(s) to be removed attached. <br />3. Contractor Name: JIM THORPE OIL, INC. <br />Contractor Classification: A <br />Contractor License Number: 495699 <br />Certificate of workers' compensation insurance on file in your office. <br />4. Tank # on �/pflot plan Th� <br />Tank Size Products currently or previously stored <br />5. Laboratory that will collect soil samples . dG SL <br />A signed "Release of Information Authorization" is attached. <br />6. Method of disposal of all residual liquid, solids, or sludges, if applicable: <br />7. The tanks will be purged of all flammable vapors to preclude explosion or to <br />levels specified by existing regulations by 71Lse C ti�Aze P <br />8. Method of disposal or reuse: - <br />5��+++�.' <br />