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SAN JOA n`I C()UN•i'Y rVIIIAC iiF,ALTIFI SERVIU <br /> F14VIRONMIMI'AL iIF,AiJIT DIVISION <br /> UNDF,RGROUND STURAGF, TANK DiSiCOSMON TRACKING RECORD <br /> .aaaa.as Lf aft.tiff+l iiifi++af#iff♦la#ii#iiiiitiffiifliii#iiiiiiii#lliiiii#4fi♦•M►•*fit###*#yw##*#+#'########• <br /> ^F(A WN I 1`ui,lir iTrallh SeTvicrs F.nvironntenlal TTrafth Division Tank Tracking Sheet shall accompany each lank affixed <br /> e,itir it,: iitr irlrrttifiration nnrnher. the rank Trnr-king Shrrt is to lir, returned to Public Ifealth Services Environmental Health <br /> hivisinn ,vuhin.30 days of arcrptance of the tank by the disposal or recycling facility. The permit holder Is responsible for <br /> rnsrttinq that thfs rorrn is completed and returned. <br /> I-A('11.1fY NAMh: _ Ta Upa d Tours L•'.C.A, 11 jjCAL 000127922 <br /> 17 A(:I1.1 1'Y A M)R r•.SC: 303 E. Ket t l ernan Ln. , Lodi, CA 95240 <br /> i'MIK !T) #39 TANK SIZE:/2, G oo _PREVIOUS TANK CONTENTS: diesel fuel <br /> ra..aa4.44.a.f 4+A 4.4f♦f+fiaif+;♦ifffi+i4if ilii+i#ii+#ilii##liiiiiiliiliflyyif#•wi#ff!#+######�###A####### <br /> .4Ft:'T WN t - to be rued out by tank remooni contractor: <br /> I m1c Re.movil Contractor: Jinn Thorpe Oil, lrtc. <br /> Arirllrss: 3�I tl Ucc1ctnan lid./V.U. Box 357 City: Lodi, CA cZip- <br /> 95241-0357 <br />(`beer A <br /> (..209__.)_13-68-6 1-15 Date Tank Removed: <br /> a....aa.a+a+.aaa.a+.a;ail++lilt+#+liiifi#♦iii#ia+ifiiiiiiii+ii♦iyii#ilf llli#l♦iAriwf♦##•+►#�##4###�######### <br /> Sf(:Cit)N 3 . T'o he rilled om by contractor "decontaminating tank": <br /> lank Ilcrnolaminatfoil Contractot: Jinn •Iltot•hC Uil, <br /> 1lrlrhr.-.a: 351 N. Beckntatt Ild./P.U. Box 357 City: Lodi, CA Zip•95241-0357 <br /> 368-6175 <br /> Amltnti7rrf trl,rr;rlltative of contractor certifying through signature below that dee tank has been decontaminated in an approved <br /> tllntict as rrrinirrd by CA EPA. ��"" <br /> hrilr:_�,Q.�, ,, LIP� SignareCj <br /> �♦ a.,ai. •.a f:a ay •f. fi Res <br /> i +i iii+ti iiyifi+il+#ftii#*#♦ ► tarsi##+♦ ## ## i�#f#### A### ######� <br /> an�C 15 rr ee o a i`C sludges anis ��t�I-oga ruon vapors upon ae l i vert o � n,t� r tee I . <br />!t t;T 1t)N 'l ('n br_ .CtQTlyd and dated by an ant for zedreprrsenfa he of the treatment. aro age, or epos lett ty <br /> acrrptirtg lank anti/nt piping. <br />;it iilty (later :4 1u11 I.;✓`1 :;l.r�r:l. I't c,cliti L;� <br /> Rancho Cordova CA <br /> ------—- W000 Pc)lsc?nt i31vd' City: ZIP: 95742 <br /> 9 16 ) 9135-10.3 IU <br /> atr. Dank <br /> scar �(/ Cf/� T lite:_ W¢I W a ' t-i(" Signaillre: - Date l L 7 <br /> a4,14. aa44A+Flaiffi#+f+a♦i+fi#fiiiliiiiiaii#iiia#iiiaii#ill#il#ii###ia#i*i##i##+R♦*#*#►#######++�♦##.r♦ . <br /> i 11 0,16) (Rrvisctl 9111/96) Page 10 <br /> l - <br /> 1 <br />