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C,llx, INVENTORY RECONCILIATION <br /> A� QUARTERLY SUMMARY RF_PORT FORM JUL1959 <br /> l 1p(� TAL HEAGH <br /> Facility Name: Anheuser-_Busch, Inc. Tank R - p � AJEE Product <br /> 1 <br /> Facility Wdress: 3932 Budweiser Court - <br /> 2 000 nals, a <br /> tot ton, a i ornia 95205 <br /> Telephone : (209) 931-5661 <br /> Person Filing <br /> Report Ron Meyer <br /> ©X I hereby certify under penalty of perjury that all inventory variations for <br /> the above mentioned facility were within the allowable limits for this <br /> quarter. (No in Column 13of the lavcacory Reconciliation Sheet) <br /> Inventory variations exceeded the allowable limits for this quarter. I <br /> hereby certify under penalty of perjury that the source for the variation <br /> was not due to an unauthorized (leak) release. (Yes in Column 13 of the <br /> Inventory Reconciliation Sheet) <br /> List date. tank /r and amount for all variations that exceeded the <br /> allowable liaics_ <br /> �Cc Date Tank f Amounc <br /> 1. <br /> 2. <br /> 3. <br /> 4- <br /> 5. <br /> Additional dates/amouatz shall be continued on a separate sheet of <br /> paper and attached. <br /> If the source of the variation which. exceeded allowable limits was due to <br /> a leak the incident shall be reported to S .J .L.H. D. Environmental Health <br /> within 24 hours and an unauthorizcd release report submitted. <br /> The Quarterly summary report shall be RubmitCed within 15 days of the end of each <br /> quarter_ <br /> Quarter I - January --) March <br /> Quarter 2 - April --> Janc <br /> Quarter 3 - July --> September <br /> Quarter 4 - October --) lkccmber <br /> end Co_ SAN JOAQUIN LOCAL HEAL1'1i DISTRICT <br /> 160L E. Haze l t oui , P .O . li(ix 2009 <br /> Stockton , (.A 95201 466 -67bl <br /> :T 40 10/86 <br />