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INVENTORY RECONCILIATION <br /> QUARTERLY SUMMARY REPORT FORM SEP 2 5 1132 <br /> Facility Name: [ting Island Resort TankE���( ( (n{ ;�Y 1'=AI.,TH <br /> 7 11' V. <br /> Facility Address: 11530 W Eight Mile Rd <br /> Stockton , CA 95219 <br /> Telephone: (209) 369-1041 <br /> Person Filing <br /> Report: Wendy Hoffman <br /> I hereby certify under penalty of perjury that all inventory <br /> variations for the above mentioned facility were within the <br /> allowable limits for this quarter. (No in column 13 of the <br /> Inventory Reconciliation Sheet. ) <br /> CXI Inventory variations exceeded the allowable limits for this <br /> quarter. I hereby certify under penalty of perjury that the <br /> source for the variation was not due to authorized (leak) <br /> release. (Yes in Column 13 of the Inventory Reconciliation <br /> Sheet) . <br /> List date, tank 0, amount for all variations and the reason <br /> for exceeding the allowable limits. <br /> Date Tank Amount Reason <br /> 1. 6/10/92-6/12/92 Diesel (58.8) Meter Misread <br /> 2. 6 13 92-6 1.4/92 Diesel (S9 9) Mete M;Grea� <br /> 3. 6/15/92-6/26/92 Diesel <br /> Temperature <br /> 4. 6/ 7/x/92 D;ecel Inn A Average Chana�e-Exxoansi n <br /> 5, 6/30/92 Diesel (27.2) Tema Chane <br /> Additional dates/amounts shall be continued on a separate <br /> sheet of paper and attached. <br /> If the source of the variation which exceeded allowable limits <br /> was due to a leak, the incident shall be reported to Public <br /> Health Services of San Joaquin County Environmental Health <br /> Division, within twenty-four (24) hours and an unauthorized <br /> release report submitted. <br /> The quarterly summary report shall be submitted within fifteen (15) days of <br /> the end of each quarter. Circle appropriate quarter. <br /> Quarter 1 - January---------->March <br /> uarter 2 April ----------->June <br /> u - July ------------>September <br /> Quarter 4 - October --------->December <br /> Send to: SAN JOAQUIN PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. Hazelton Ave. , P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 468-3420 <br />