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'�, :;R►N JCu5.0LI3 N I-C>C'.�" 141LAa_ -rvi L>I MRTH I C'Y` , <br /> umnmawum fiAw DIwooITIcm TRuxIma awn3RD <br /> *AaIO}'4ttrRtslt!}tRttllRt4t*RitTR1;R**otsaD***0i014tf fNR9IIQp!}pt4Qf Mtt44f0f4QtAR!*R'!¢! <br /> AMM IL -- Ttw San -30sgUTA Local Health District`s Tracking Sheet vi1) amc:tipany each tam& <br /> > �d With its alte identification n>�e8e <br /> r. 7Tw Tracking Sheet is to toe returned to n <br /> � 1tr LOM) ►iealth DiStrict within 30 day, of accertanc:e of the tank by disposal tar <br /> SSC 'ing fac111ty <br /> #Mm : Qnane .Eadycts C )a n t <br /> -ARB: 45n f S%mnlIin- Rnrd, fracv, CA 95 ',F <br /> " ,OC"' 'ill ML Oas t mn FPP cite ACAC DDOZM65' <br /> >��Rmr*A!p tfr Q R t f f l R#!t t!y►t RT O t t•!14 M t■r!f f t f Q yr R yt l tf!!!a 1�g tt}*4*lr t14 X!l tlfrllfr4!!!@�}r!llsp�!*p <br /> 1�IC`!IOlt 2 - Tc to filled out bi tank removal contractor . <br /> r■�ar�el axitra ar;._ JIM THORPE 0;L 1140, <br /> i 353 h BecKiia- Roan, Ludt , CA 91: '41D Z1 . <br /> - <br /> ? Date Tarek moved,,, � Z26 <br /> MOM 3��!!!ltttrxRR!#}s.s�ea*=*xst}toe*Rxttx4xtterswsprxssattwtlterss xaralalsssl�ee►x!!lsaa�ra <br /> !b bt EilleZ out kw contractor "decontmaiterting tank": <br /> l '�ltertiono psniract=: JIl+ 7HORf F ML, INC Nor Cal Ott , Ita�,��r cf rtr�SatP <br /> If , <br /> L A beckmnr Road, Lrdt, CA dip <br /> r <br /> 4, 1w <br /> �4LMI;d repre5er. ative of Contra r_tox certi,fiea st i below that the <br /> �lsrate�c+ An an b]' 9n n'9 tank has .been <br /> vved aanr�cr an y be regulated by DRpartment of #iealth Bervlcex. <br /> ldvnt <br /> SICKA71M jWTIME <br /> '+#'}ReftrpxRy�*at•xi;RRRt**1tRR!!}!RRRRRRRtl:tkx*t4R1RRRRY#Rt#aa;**a ItIIto*v**faOth!!t! <br /> 4 - To be filled mt arxi migned by an authorized repreanet.ative of the treatment, <br /> 01,pr or disposal tacility aocepting tarn. <br /> r <br /> .�,w' _ — <br /> Fv1htCHO GC)PDOVl. Cr, [5t <br /> Z i p <br /> Phorke IF. <br /> AL7!'}ICJRi SIMATtRE AWS T 7L.F —' <br /> R �'9t�itltaftxtArotf*kRtfR.ltR7[s#tlelttt#sKt!!*xtl4lii! f�f}lRtftlttl;##tA4lt=fiitptaAtlf�R�! <br /> f- t7 049 J2186 <br /> ieI MyFdJCra LW3 FOLD IN HALT MC STAPLE AFFIX PROPER PCIBTAJM. <br /> SAN .?C1hUJIk LOCAL WAL.TI9 DISTRICT <br /> A77W WDE R ROUT O TALC PROC;RNI <br /> P 0 BOY 2009r <br /> s1�aclniv, c'A 95202 ; <br /> ` 's 4 <br />