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SAN JOAQLL`i COUNTY PtiBLIC HEALTH SERVICES <br /> EN-V RONL N EN TAL HEALTH DMSION <br /> UNDERGROUND STORAGE TA:rX DISPOSITION TRUCKING RECORD <br /> SECTION 1- Public Health Services Environmental Health Division Tank Tracking Sheet shall accompany each tank aft-ted with <br /> its site identification number. The Tank Tracking Sheet is to be returned to Public Health Services Environmental Health Division <br /> within 30 days of acceptance of the tank by the disposal or recycling facility. The permit holder is responsible for ensuring that <br /> this form is completed and returned. <br /> FACILITY NAME: S. T. Services <br /> FACILITY ADDRESS: 3505 Navy Dr. , Stockton, CA 95206 <br /> TANK ID X39 - b j% 4"00-7 TANK SIZE: 1000 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: P.O. Box 357 City: Lodi , CA Zip: 95241-0357 <br /> Phone#: ( 209 ) 368-6175 Date Tank Removed: <br /> SECTION 3 -To be Filled out by contractor "decontaminating tank": <br /> Tank Decontamination Contractor: Jim Thorpe Oil , Inc. <br /> Address: P.O. Box 357 Cit.,: Lodi , CA Zip: 95241-0357 <br /> Phone#: ( 209 ) 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:Contraetor Signature: Date <br /> `anC is free o alb s udg�es� and f rdrocfiarbon vapors _u on relive to Sc�hr�atam,� eel . <br /> SECTION 4-To be signed and date y an aut orize represent uve of tlpe trey enc, s age, or s s c' <br /> accepting tank and/or piping. <br /> Schnitzer Steel Products <br /> Facility Name: <br /> Address: 12000 Eolsom Blvd. , Rancho Cordova City: CA Zip: 95742 <br /> Phone#: ( 916 ) 985-4810 <br /> Date Tank Received: <br /> Name: Title: Signature: Date <br /> EH 23 046 (Revised 08113/99) Page 10 <br />