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INYENTORY RECONCILIATION <br /> QUARTERLY SUMMARY REPORT FORM <br /> Facility Name: Anheuser-Busch, Inc. Sank t Size Product <br /> 1 <br /> Facility,Address: 3932 Budweiser Court2 000 al a <br /> Stockton, 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 l3 of the Inventory 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) relcise. (Yes in Column 13 of the <br /> Inventory Reconciliation Sheet) <br /> List date, tank f, and amount for all variations that exceeded the <br /> allowable limits_ <br /> Date Tank f Amount <br /> 2' JAN 61989 <br /> ENVIRONMENTAL HEALTH <br /> 4. PERMIT/SERVICES <br /> 5. <br /> Additional dates/aawuats shall be contioued on a separate' sheet of <br /> paper and attached_ <br /> If the source of the variation which. exceeded at9owable limits was due to <br /> a leak the incident sha 11 be reported to S •J .L.H . D. Environmental Uca1Ch <br /> within 24 hours and an unauthorized release report submitted. <br /> The quarterly sussaar -. re - - - - <br /> - Y y port shall be Rubmit[cd within IS days of the end of each - <br /> quarter. - <br /> Quarter I - Jaouary --> Harch <br /> Quarter 2 - April --> Juoc <br /> Quarter 3 - July --) Scptcmher <br /> Quarter 4 - October --> Dcccmber <br /> end to: SAN JOAQUIN LOCA1. HEALTH UIS-1-KIC"1- <br /> 1601 E_ I:azc• lt..n • P .O . lion 2009 <br /> Stockton. CA 95201 460 -67bl <br /> :1' 40 10/86 <br />