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SAN JOAQUiN cowry PUBLIC IIEALTII SERVk'9S ENVIRONMENTAL HEALTII DIVISION UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD .«+««##+«#«++.«+«++«+++#t+#«###++++#+t++#++++++##t+#+++tt##++t#++#####t+###.#*�*«+t***}***+•�+*�++t+**++**+ SECTION 1 Public ilealth Services Environmental Health Division Tank Tracking Sheet shall accompany each tank affixed will, its site identification number. The Tank Tracking Sheet is to be returned to Public health Services Environmental Health division Nilljin 3o days of acceptance of the rank by the disposal or recycling facility. The penult bolder Is responsible for ensuring that this form Is completed and returned. FACILITY NAME: American Transfer Company E.P.A. 11 CAC 001415264 FAC:II.fI'Y ADDRESS:2701 Highway 99 South, Stockton, CA 95215 TANK 11) #39 - 17 TANK SIZE:O 0PREVIOUS TANK CONTENTS: Diesel Fuel s««««##««««####+##+#+#++#+t#+t++#+#++#t+t#+#+#t#t#tt+h+t+tt##tt##t++t+#+++t#tt«tt##ttt#t##M#t#4M�F#*+�*#►t*#• SE(:'I'1UN 2 - To be filled out by tank removal contractor: Tank Removal Contractor: Jim Thorpe Oil, Inc._ Address: 351 N. Beckman Rd./P.O. Box 357 City: Lodi, CA Zip: 95241-0357 Phone 1: ( 20_) 368-6 175 Date Tank Removed: ♦++#a:,�.«««r###+««+*#####+#+#tt+##++###++#+#+##+t++++#+##i##+#+t+tt##t##+#####t#tt+Mt####*#�#��*�*�#**►�*��* SECTION 3 - To be filled out by contractor "decontaminating tank": Tank Decontamination Contractor: Jim Thorpe Oil, Inc. Address: 351 N. Beckman Rd./P.O. Box 35'1 City: Lodi, CA Zip:95241-0357 Phone a: (_209 ) 368-6175 Amhnri7.r_d representative of contractor certifying through signature below that the tank has been decontaminated in an approved manner as required by Cal EPA. Name: Title: Signature: Date +1 an�C`i s+free«ti#+a'Y'fi#Mudge##s#ani«1%y�ro��c`ar6on+va ors'u ion#deli ver i� ** ►�i` + *� SF,C'TION 4 - To be signed and dated by an aur orize represents rive of the treatment, stv age�or silos iii ryes accepting tank and/or piping. Facility Natne: Schnitzer Steel Ptxxlucts Rancho Cordova, CA Address: 12000 Folsom Blvd. City: Zip: 95742 Phone /: ( 916 ) 985-14810 Date Tank Received: Hattie: Title: Signature: Date Ell 23 046 (Revised 9/11/96) Page 10 J