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UNDERGROUND TAW DISPOSITION TRACKING RECORD <br />SWTION 1 The San Joaquin Local/ Sheet vill accompany each <br />affixed vith its site identification number. The Tracking Sheet is to be returned to San <br />JoaquinLocal <br />District 0 days of acceptance •: :tankby disposal or <br />recycling facility. The holder, of the jnraLt 11th ayMb2r Jkr .h• balgX is rC22gWjbjg_j&L_ <br />i•i • •�•• <br />M: ORP : n �._ . r <br />• : x �. CA a <br />1 <br />FACILITY ADDms: 351 N. Beckman Road, Lodi, CA 95240 <br />TAW ID 039- 1310 - <br />SWTION - 2 To be filled out by tank removal contractor: <br />Tank Removal Contractor: JIM THOf f <br />Address: <br />di <br />CAZip: 95240 <br />` f 1 f. 462-4581 •,• <br />Telephone: Date Tank Removed: <br />A=IONc be • out by • • r,• <br />Tw* Decontamination" Contractor: aNT-bQ&PZ_QIL, INC./ Nor -Cal Hauler of Rinsate <br />/rr r- D <br />r <br />r, <br />Authorizedodi, CA <br />representativeof • • by signingbelov that the tank has been <br />do con taxinated in an approved manner as may be regulated by Department of Health Services. <br />=CTICK 4 - To be filled out and signed by an authorized represnetative of the treatment,, <br />storage, or disposal facility accepting tank. I <br />Facility Nam SCHNITZE STEEL `Ci• <br />/ i r FOLSOM BLVD. <br />NCHO _........ <br />RA <br />O r•O.. c;. a <br />5742 <br />Address: 016-ORS-A-glin Zip: <br />• • <br />INSTRUCTIONS:PON <br />EN 23 049 12188 <br />WLING • • IN HALF AND STAPLE. AFFIX PROPER POSTAGE. <br />SAN JOAQUIN LOCKL HEALTH DISTRICT <br />A t UNDERGROUND TAW PROGRAN <br />P. 0 BOX 2009 <br />S 'YON, CA 95202 <br />