Laserfiche WebLink
Q U I�] Environmontal Health Department <br /> SAN wlOA <br /> ,.w.--aCC)UNTY---_ <br /> UNDERGROUND STORAGE TANK DISPOSITION TRACKING RECORD <br /> r.rA Mra Naiaar HrUla uloq�rar.Irua............eel urr e.r ua.rerarraarrerar•faara eaa s.rease................. <br /> t30CTiON !_SJC Envlronmcntat Health Depart enro;Tank Tracking Sheet S11611 accompany each tank affixed with its <br /> site IdentJn�tlon number. The Tank Tracking Sheet is to be returned to the Environmental Health Department within 30 <br /> AM of acceptance of the tank by the disposni,ar recyrfirtg laraity. The permit holder is responsible for ensuring that this <br /> form is compteted and returned. <br /> FACILITY 1=0049 ARCO amlpmFuel Factt03r <br /> NAME; <br /> PACIUTY 800,E I{eMilwn Lana,Ladt.CA 9324D <br /> ADDRESS: <br /> 'DANK ID 09;- 1033M.009 TANK SIDE:, 10.D00$A110 PREWOUS TANK <br /> CONTENTS. otar.UnteadgdGasolftta <br /> #reryrNaeiAcre`siaraaeramsseserrafasaireayiir#bilensisn*>tA•r�wsrcf:rA�®roanaap�iur►taei tea alra 6u oti I*A A*** <br /> SECTION 2--T* ,flilpda :: Lcon#rxctar. <br /> • � Taltk���moYa�fort . ,`T �� � ° � , <br /> Ap.#a}EA'#AAr <br /> V <br /> v <br /> P <br /> Address:25971 Towne CenterD&O Oliy: Foothill ttanch ZIN,`92610 <br /> Ph . 9d9 } B0-520 <br /> 4ttlhorizad relirat tart r t thrttLtgh signature balbwthat the tank has been decontatninated In an <br /> appy mend as y ISA, <br /> NiJiI Paul Fit elnar , Title. Techr loan S1 ntwturt3: tats "1 r :t . <br /> AA�AAi'AdiRAAk/fiff9a11afiil►OA/F!lliAilAilpAteaAgAA#f1#AA4i0eieMr4CA{Lt+lieepOyAiAiliRR1A1i 911b1#1i[YlirtAlrr#ie <br /> _ ! ' •T4 bs sig C1 grad dat l n:atd + ntetive ofthe.trotifit,storage,ti+'disposal faciray <br /> a�t�Att�.t8lti~kc�c �, <br /> Recoio Ha it�at!l:andfll <br /> 9Y' Y <br /> 626 NaOad ;`r <br /> �iZj$y. 95ia$7 <br /> 77, <br /> I r <br />