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INVEI7TORY RECONCILIATION , <br /> QUARTERLY SUMMARY REPORT FORM <br /> Facility Name: King Tvl nd Resort Tank 0 Size -Er2duat-_ <br /> Facility Address: 11530 W. Eight Mile Rd. <br /> .S tockton CA 95219 <br /> Telephone: ( 09) 951-2188 _ <br /> Person Filing <br /> Report: Yvonne Mabee <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. (NQ in column 13 of the <br /> Inventory Reconciliation Sheet. ) <br /> [-A 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 (.uak) <br /> release. ( a in Column 13 of the Inventory Reconciliation <br /> Sheet) . <br /> List date, tank 1, amount for all variations and the reason <br /> ! / jpr exceeding the allowable limits. <br /> JAN 0 8 1992 Date Tank 1 I Amount Reason <br /> Opening reading taken <br /> ENVIRONMENTAL HEA1;+; In14_1n/ 21 /91 D"'] +139 .5 (Avg. ) from inaccurate meter <br /> PERMIT/SERVICES Misread-accounted <br /> 2, 11/ 8/91 Regular -52 9 for 11/9/91 <br /> 11/14&15/91 Regular -62.15 (Avg. ) <br /> Misread-accounted <br /> 3. 11/16/91 <br /> ular -88.95 (Avg. ) Misread-accounted <br /> 11/19-11/22/91 Regular eg g• for 11 /23/91 <br /> Cr)ntraction due to <br /> 5. 12/4-12/6/91 Regular -106 .10 (Ave_ ) temperature. <br /> Additional dates/amounts shall be continued on a separate <br /> sheet of papas 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 /> Quarter 2 - April ----------->June <br /> Quarter 3 - _July ------------>September <br /> (Q uarter <br /> 4 - octolaer --------->DecemDer� <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 />