Laserfiche WebLink
INVENTORY RECONCILIATION <br /> QUARTERLY SUMMARY REPORT FORM <br /> Facility Name: Anheuser-Busch, Inc. Tank E Size Product <br /> 1 <br /> Facility Address: 3932 Budweiser Court 2 0 a <br /> Stockton, CaliTornia 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 13 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) release. (Yes in Column 13 of the <br /> Inventory Reconciliation Sheet) <br /> List date, tank /, and amount for all variations chat exceeded the <br /> allowable limits. <br /> ( Date Tank f Amount <br /> 1. <br /> 32. <br /> . � <br /> 4. OCT 5 1988 <br /> S- ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> Additional dates/amounts 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 unauthorized release report submitted. <br /> The Quarterly summary report shall be submitted within 15 days of the end of each <br /> quarter. <br /> Quarter I - January --) March <br /> Quarter 2 - April --) Juuc <br /> Quarter 3 - July --> sepce.her <br /> Quarter 4 - October --) Occember <br /> C 'end to: SAN JOAQUIN LOCAL. HEALI-H DIS-1-RIC-1- <br /> 1601 E. Haze11A i . P .O . Imam 2009 <br /> Stockton • CA 95201 466 -67b1 <br /> 1 40 10/N6 <br />