Laserfiche WebLink
NOW <br />INVENTORY RECONCILIATION <br />QUARTERLY SUMMARY REPORT FORM <br />facility Name: l //ilk ntu---G :U <br />Facility <br />Telepho <br />Person <br />Report <br />APR 191989 <br />L hereby certify under penalty of perjury that all inventory variations for <br />cbc above ecaeioned facility were within the allowable Limits for this <br />Qwarccr. (No in Column 13of the loveatory Reconciliation Sheet) <br />QInventory varincioas exceeded the allowable limits Ear this quarter- I <br />hereby certify uader penalty of perjury that the source for the variation <br />wa■ not due to An unauthorized (leak) release. (Yes in Colum"113 of the <br />Inventory Reconciliation Sheet) <br />List date, tack f, sad amount for all variations Chat exceeded the <br />allowable limica. <br />Date Sack f Aswune <br />2_ <br />J. <br />4. <br />S. <br />AddiCional dates/amouocs shall be conc[oucd oo a acparace shceC of <br />paper and attached. <br />If the source of Chc variation which exceeded allowabLC Limits was .due to <br />a leak the incident shall be, rcported to S.J,L..H.D. Environmental Ileal.C.h <br />within '24 hours and an unauthorized release report submiCCed- <br />The Quarterly zuamary reporC shall be .%ubmitted within 15 days of the end of cath <br />Quarter. <br />✓ic�uar[rr I - January --% March <br />'0•aartrr 2 - Ap.ri l -_}. J....r <br />Quarrv[rr ) - J..ly -_) ]rptember <br />Q..ar[cr 4 - October --> O'Crmbcr <br />Send co: SAN .lOAC)Uln J.0CAl. IJEAI-Tli DI`TI(ICT <br />1001 1:. 1:7zt• I l .n l' .0 . N..x 2(1(1'1 <br />SLockcon, CA 95201 466-67bI <br />',o lf)/Hh <br />