Laserfiche WebLink
PUBU,6 HEAEfH SLI.�ICES3a:� <br /> •.G <br /> SAN JOAQU[N COUNTY 't+ <br /> J061 KIIANNA M.D.,M.P.H. • <br /> Hcahh Officer �'�.t,lird�`'�r <br /> P.O. Ilox 2009 0 (101 East mtzclton Avenue) •Stockton,(alifumla 95201 <br /> (209)460.3400 <br /> UN1)ERt,'It0UN1)XWlK DISPOSITION TRACKING RECORD <br /> PIPING <br /> •rrr•r••44!••4#w•444•••44•w44•••4w##444##w•###••#•w••#••w•4••###•#4.4•!•••••••#••••r•#•##••••••••••••#••#•• <br /> Sfi:(:1 ION I - rnblic I leallh Services 'Tracking Sl+cel will accornpany cac h lank affixed with Its site Identification number. The <br /> I parking Slteel is If►[1e returnccl Io rlrblic I Ica#Ih Services 1�Ithln 30 days of acceptance of the lank by the disposal or recycling <br /> raciilty. 'Ilse permit holder is responsible for ensuring that this form is completed and returned. <br /> FACILITY NAME: SEARS ROEBUCK & CO. EPA Site #CAC 000887848 <br /> rACILITY ADDRESS: 5110 Pacific Avenue, Stockton, CA <br /> 'LANK IU #39 - N/A '1(*WDcscrlption: Fuel & Waste Oi <br /> •lrr4l4.4444•�!••4•••••#♦4w•4•!4•r!!••!!#•�•####44##!•44#••w•4•!#••►••4••4••••!#•#•••••••••••••••••#•••#•• <br /> 5f r:HUN 2 - 3'o he filled out by lank removal contractor: <br /> 'I'nnk Removal Contractor: JIM THORPE OIL, INC. DBA RICH-MART CONSTR. <br /> Address: 351 N. Beckman Rd. , P. 0. Box 357 City: Lodi , CA Zip. 95241 -0357 <br /> FIFINb <br /> phone d': ( 209 ) 368-6175 DateA)AX Removed: August 10, 11 , & 12, 1994 <br /> •r•••44x44#•4••w•w•4♦44►r•44•••r!#!##•••#!!#0444••#••#•444•srls•##••►44••••••••••w••••••••••••••••••••#•••# � <br /> Sr-:CI'[()N 3 - In be filled oirt by contraclor "decontaminating Iank": <br /> Tank Ueconiaminallon Contractor: JIM THORPE OIL INC. DBA RICH--MART CONSiR. Nor-Cal Oil <br /> Hauler of rinsate <br /> Address: 351 N. Beckman Rd. , P. 0. Box 357 City:' Lodi , CA Zip: 95241-0357 <br /> 209 ) 368-6175 <br /> Aulhorized reptesentative of contractor certified by signing below that the tank has been decontarninated In an approved <br /> manner as required by the Slate Deparonent of Health Services. <br /> Signnture: Title: Vice-president <br /> 4r/fw •••#•• •w ! 6104!•04•• 0!•t!w•wf •••••!•!4444!!#•!#• • ••#••#• •N • 0000#!###•#!# M!••#•# . <br /> �'p !W is Tree o a1 ••sluges and hydrocarbon vapors upon delivery o cilli zer St 'I . <br /> SEcHoN 4 - To be signed and dated by an nuthorized represerllnlive of the treatment, storage, or disposal faciflty <br /> accepting lank and/or piping. <br /> racillty Name: Schnitzer Steel Products <br /> Address: 12000 Folsom Blvd. City: Rancho Cordo ZIp: 95742 <br /> Phone A': ( 916 ? 985--4810 <br /> Vale Tank Recelved: ���!J <br /> l <br /> Signature: Title: <br /> •!Ir!•••4•!4!4•4.4•♦#441###1l0f •••!!4•R••••!•###4!•!•#!#!##N###•R•R••#w!♦0000#•••NN#••••••w••f•#!•N• <br /> Inge 10 <br /> Ea 23 049 (Rev 2/8/91) VP <br /> A vivionn of sin JnaTiin cmin+r f+e,l+h fore kcmce! � <br />