My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SITE HISTORY
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
S
>
STANISLAUS
>
749
>
3500 - Local Oversight Program
>
PR0545698
>
SITE HISTORY
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/28/2020 9:48:57 AM
Creation date
5/28/2020 9:46:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
RECORD_ID
PR0545698
PE
3528
FACILITY_ID
FA0009775
FACILITY_NAME
CONCRETE INC - STKN-STANISLAUS
STREET_NUMBER
749
Direction
S
STREET_NAME
STANISLAUS
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
14723006
CURRENT_STATUS
02
SITE_LOCATION
749 S STANISLAUS ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
19
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
i <br /> %./ <br /> UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD <br /> •!Hflftf###t NtalffafN!l Rif N iiRR!!RR!lsRnRlnnRtliRSRRlRli!!!fR#t#R!#fa!lRfR!!!#!f!!!!!##!###!!!#!!!!!!## <br /> SECTION 1 - Public Health Services Tracking Sheet will accompany each tank aff xed with Its site Identification number. <br /> The Tracking Sheet Is to be returned to Public Health Services within 30 doss of acceptance of the tank by the disposal or <br /> recycling facility. The permit holder is responsible for ensvrirtg that this form is completed and returned. <br /> FACILITY NAME: Concrete Inc. EPA Site #CAC 000 983656 <br /> FACILITY ADDRESS: 749 S. Stanislaus St. Stockton, CA 95206 <br /> TANK ID #39 -Sa SI -0 Tank Description: 5 1000 Gallor Diesel Gasoline Waste Oil <br /> r!!f!!!!#flftt!litrttR!!!!##tirtii!!lRitr!!!s!!!!!!f!!!!falffl!!alt/##fftfnf•!!Ri•!!!!!!!!!f###!#!!#!!!#!R! ' <br /> SCCTION Z - To be filled out by tank removal contractor: <br /> Tank Removal Contractor: Jim Thorpe Oil Inc. DBA Rich-Mart Construction <br /> Address: 351 N. Beciunan Rd./ 11.0. Box 357 _ __ _ _ City: Lodi CA Zip: 95241-0357 _ <br /> Phone #: (209 ) 1+62-4581 Date Tank Removed: <br /> r•if lflr!!rtlflt!•lrrR!!!•!!i!!N atlraatfa#!##!!!•!!!!l11f!laata!###!#!#il Rnn!!Rf!#!aR#!N riff!##!!R!!!!at! <br /> SW ION 3 - To be filled out by contractor "decontaminating tank": <br /> Tank Decontamination Contractor: Jim Thorpe Oil DBA Rich--Mart Construction <br /> Address: 351 N. Beckman Rd./ F.O. Box 357 City: Lodi, CA _Zip: 25241-0357 <br /> Phone #: ( 0 462-4581 <br /> Authorized representative of contractor certirying through signature below that the tank has been decontaminated In an <br /> approved manner as required by Cal EPA <br /> Signature: Title: /.0 e <br /> frrrr►!!!leeafffassir!!!rilr!latali•IIsi!!—JR!!llaiaa!!t!!!r!!lial <br /> SECTION 4 - To be signed and dated by an muthorized representative of the treatment,storage, or disposal faciilty <br /> Tank is freee�tga� s udgeVpa% hydrocarbon vapors upon delivery to Schnitzer Steel . <br /> Facility Name: Schnitzer Steel Products <br /> Address: 12000 Folsom Blvd. City.Rancho Cordova Zip: 95742 <br /> Phone #: 9( 9 985-4810 <br /> Date Tank Received: <br /> I <br /> Signature: Title: <br /> rfrfrlsftrirlrrr!!lsasattaa#rrarlssffsaatttt!!!!!lsafoar#satttlilssa!#tsa#!!ss•#!!nlsffrssiaa#!ra!lafff# <br /> E4 23 049 (Revised 7-10-92) Page 10 <br />
The URL can be used to link to this page
Your browser does not support the video tag.