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I <br /> 1 � <br /> SAN JOAQUIN COUNI-Y PURI,IC IIF,ALTII SERVICE !f <br /> F,NVIIION&MM'AL IIF,ALTH DIVISION <br /> UNIMM"ROUND 511)RAGE TANK DISPOSI'T'ION I-RACKING RECORD <br /> «+a+«a«+a+a+r++++«++++++rrrr♦+♦♦+++rrr++w++r+♦+r+rrrr+rr♦rr♦►►♦►•►►+►►►►#r##♦►#►►#►############# <br /> Seel ION 1 - Public Ilealdr Seavices Fnvhonnnrnlal llealth Division Tank Tracking Sheet shall accompany each tank afRaed <br /> Willi Its site Idrndliradon number. 'lite Tank Tracking Sheel is to be renrnned to pobllc llealth Services Enrironmenta) Health <br /> I)I0.1lon within 30 days of arreptanre, of die tank by the disposal or recycling facility. The permit holder Is responsible for <br /> rnsmhq that 1111.1 form Is completed and Milford. <br /> I ACILI f Y f1AMF: Connell_Motor 'Truck Co. , Inc. _ R I' A A CAL) 981682362 <br /> !'ACILIIY APPRI?SS: 2211 N. Wilson Way, St,oektou, CA 95205 _ <br /> TANK 11) p39 - /5Qy 4,2-FANK SIZE: 10,000 gal. PREVIOUS TANK CONTENTS: diesel fuel <br /> ,.,.,a.aaa.«a«aa+r+««+++++r♦+♦+♦r♦ra♦«+♦♦+++ra++++♦+�+r+++++♦+r+++++err+r♦erre►♦►♦►►►►►#►►##►#########1#►!# <br /> SF1:I ION I - to be filled nut by lank removal conhactor: <br /> lank Rrmov.11 Contraclor:-_ Jim 'lilur'pc Oil I_ tic. <br /> Address:_ _3. 5-1_N-. Beckman lid./('.U. Dux 357 city: Lodlr CA Zip: 95241-0357 <br /> 1'hmtn N: ( 2091360-6175 _ Dale Tank Removed: <br /> .aaa..a..a.a««a.a«««ear«r.++♦+♦♦+++++r++++♦+++++++++rr+r+r+rrrrr++ r+++++r+eerier►err♦►►r►rrMr+#►+######+# ' <br /> SF(:'I lorl .1 - 'ro be. filled not by conlracit r "decontaminating lank'': <br /> Tank Dccmnanlnallon Contltaclor Jim 'l'hor'pe 0.111 Inc. <br /> Addtrar. J5I 11. Declanan lid./P.0. Dox 351 City: Lord CA Zip:95241-0357 <br /> !'hone 1: (_209-_-) J68-6175 <br /> Atohrnitrd trill rsrolallve of conitaclor cetliryhng Ihnnngit signature below drat the lank has been decontaminated In an approved <br /> nrnnnrr as rrgnbcd Try cal EFA. <br /> Haor, Richard Thorpe a1tle: Pres. Signature: e 10/98 <br /> . .ra a ar. eerie► era ♦ ++ +r1r♦♦► « ++ rr♦r++ «+♦erre+rr♦err+♦♦rr ♦ ►+►►►►#r►rrrarau++•rarraar#r#�### <br /> latJ�C is free of aft kludges an11�yr1�o(�ar�ion va`u)rs u�ron fefi�ver <br /> SFC I ION a - fn be sigocd 1ud dared Try an aur rm ze represents Ire of 1 e Ireatmen1, slo age, or dispose tnsllty <br /> acrepdng lank and/or piping. <br /> Far-Ally tlamc:_ West Coast rouilsnent <br /> Adrhrs.p P.O. Ikm2368 Cil Turl.ock Zip 95381 <br /> I'lome t: ( F.S8 ) 996-8265 <br /> )ate tank.. <br /> Ianc @ 11de: b Signature:, ' A Date_ <br /> ♦«+« +♦+«.+++++++++�++++�+++�++�+++++.++♦►+++++err+rrrrr+♦++++rrrrr+r♦►♦rr♦►rr►►#♦##►►♦►♦►►►►♦#►###+r►###►►# • <br /> II 21 flare (Rrvlsed 9/11/90) Page 10 <br /> I <br />