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It .�' r" • ��, ;_ 1 `,. �w ♦ i+ E iii " M <br />�. - a. _ • Baa . ' _ ..I t <br />a �1': yLr ;+' a �" r„ t°' 1 t .'d.'►.' ►�. -�� r._ '�s - � •.rxf � . <br />FAME.ITY NAM; JIM THORPE OIL, _INC.. <br />YWILITY S: 351 N. Beckman Road Lodi CA 95240 <br />TAW ID 139- 1310 - ( <br />I - 2 - To be filled out by tank removal contractor: <br />Removal Contractor: JIM THORPE OIL INC. <br />Address: 351 N. Beckman Road, Lodi, CA Zip; 95240 <br />p #: (2 462-458T- <br />Telephone: <br />62-455TTelle : ( ) Date Tank Remo q <br />1 81 <br />WLVION 3 -To be filled out by contractor,"decon inating tank": <br />TankDecontamination" tractor: JIM THORPE OIL, INC./ Nor' -Cal Hauler of Rinsate <br />607 E. Black Diamond, Lodi CA Zip; 95240 <br />Fh : (209) 462-4581 <br />9To be filled-1�V.,0,4or <br />disposal <br />FeCility Name <br />Address <br />e <br />Unite Tank Received: <br />c.gntractor <br />below <br />roamer as,may be regulated,by Departmentof Health Services, <br />SIGNA71M AND TITLE <br />and signed by an authorized repacesnetat ive of the treatment, <br />accepting tank. <br />1t*lMRittlltRitiE##�ltitititftititit�lNtitltil�tltikitttltikitit�! <br />23 089 12/88 <br />MCDUCT'> Co. <br />A BLVD. CA 2 Zip: <br />sio #a __.._---- <br />MING INSTRUCTIONS: FOW IN HALF AND STAPES. AFFIX PROPER POSTAM. <br />SAN JOAQUIN LOCAL HEALTH DISTRICT <br />AA UNDERGROUND <br />TANK N <br />P. ®. eax 2009 <br />SWXTION, Cid 95202 <br />