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PURI .. HEALTH SE1� ` � � �L � <br /> r: t <br /> SAN JOAQUIN COUNIV a: I <br /> i <br /> JOW KIIANNA N11 61.P.H <br /> Ilcallh 011im � tl P8'A '' <br /> P.O. Dox 2009 ( 1601 East Ilazellon Avenue ) 510ckron, (:allfvrnla 95201 <br /> ( 209 ) 468-3400 <br /> it <br /> UNUfsRCItOUNI) TANK DISI'OS11'►ON TItACK1NC RGCURU <br /> • . • • • • . • ♦ • • • • 1 . 11 • • HI • H • 11 • I • I . 11 • • 1Hl11 . 11 • • • • 1NlH9 • • 1 • • ! • HNU191 • • f • 1 . 1 • IIH • 91H IN • RIIIIf 111 • MI <br /> BI <br /> calzii <br /> ank affixed will, its <br /> dentification <br /> S rnckbl ) Sheet Public <br /> I ' relunled io er, Tile <br /> icePubl c I Icelidl Services within 3Slice [ INr0ydays otf acceptance of ( lie tank lby the disposal v recycling <br /> r gIs <br />'d faclllly. The Permll holder Is responsible for ensuring that this 101111 Is completed and returned. <br /> FACILITY NAME: <br /> Barnes Trucking <br /> FACILITY AUbRESS: 1817 S . Fresno Ave . Stockton Ca . 206 <br /> 10 , 000 gal , diesel fuel <br /> ZSD6 -o 1 'ank Description : 0 <br /> 'I'ANK IU # 39 - °� I EPA Site N L <br /> 11 . 1111111 . 11 • • ! ! • • 11 • • • • • • I • I • • • • • I • ! • ! 1 • ! 9 • R 11 • • 11111 ! • 1 . 1 • • • • 1 . • ! 1 • • • • • 1 . 9 ! • • 1 ! 9 ! 1 • • • 1 ! • • 1 • • IIf1 . 11 . 1 <br /> sFCnoN 2 - To be filled out by tn�'�relfullORPl E OIL ' INC . DDA RICH - MART CONSTR . <br /> 'lank Removal Contractor : 95241 -0357 <br /> Address : 351 N . Beckman Rd . , P . 0 . Dox 357 City : Lodi CA Zlp: <br /> r <br /> Phone # : ( 209 ) 368 - 6115 Date lank Removed : <br /> 1 / 11 . 11111 . 1111111 • I . 111 • • 11 • • • 111 . 1 11 . 19 . 1 • • 1 . 11l9 • • • 1991 . 1991191111 . 1 . 1111 . 19 / • If 1 • • / 1f 19 • f 11 ♦ 1 . 911 . 11 . 11 <br /> SECTION 3 - to be filled out b'y contractor "decontaminaling lank": Hduler of rinsate <br /> Tank bccomaminallon Contractor. JIM THORPE OIL INC . DeA RICH - MART CONSTR . / Nor - Cal Oil <br /> 0 . Box 357 City: Lodi <br /> CA _ Zip: 95241 - 0357 <br /> Address : 351 N . Deckmmn Rd . , P . <br /> Phone # ( 209 ) 3684175 <br /> 'nllatlhe Stalenbactor cent le fby signing below that the tank has been decon <br /> Audvulzed represlerlrinaled In An approved <br /> dilt <br /> manner as re9ulre y <br /> Title; Vice - President <br /> Signature : <br /> Tank is free of all sludges and h Foca � bon � alro � � � upon � deli0e��y to Schnitzer. $:a+ : / 99 / 1 <br /> • • 1 ! H I • . 11 . 1 • ! • • 1 • • ! • • • 1 • " . • . • . ! . • • . . . <br /> SH4 - To he slgncd and dared by an nulhoriz <br /> CI'IUN ed representntive o[ the treatment , storage, or disposal facility <br /> accepting lank and/or piping. <br /> Pncllhy Name: Schnitzer Steel Products <br /> City: Rancho CordovaZIP: 95742 <br /> Address: 12000 Folsom Blvd . <br /> Thune # : 916 ) 985 - 4810 <br /> bale Tank Received : f <br /> Tulle: <br /> Slgnamre: <br /> • . • • H111 • • • H ! 1 • I • H • 1 • . • • • • • 11 . 1 • • 11 . 9 • • • 999111 <br /> Page 101 • ! • • 119911 • • • • 199 Hl9 • IN9 . 11 . 19J 9 . 9 / N • IN ! ! • / <br /> ra 21 069 ( Rev 2 /0/91 ) vp I Coum Ileahh Ura Scnial �) <br /> A nhlelon or Stn In1gnn Y <br />