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U ta � <br /> xG <br /> G0N-ft SR�GK� ANA <br /> - - - <br /> E�E1v INVENTORY RECONCILIATION ` <br /> 19g6 APR � g 1993 <br /> 4 QUARTERLY SUMMARY REPORT FORM FN""MENrk H <br /> G PERT/��RV,C �L Ttq <br /> EA <br /> I TRUCKING INC. <br /> GQN Name: CONTTank # Site <br /> >Eaeility Address: 2660 LOOMIS RD STKN 95205 1 Product <br /> 100 <br /> Telephone : 209 948-59111 <br /> Person Filing <br /> Report Goo RICH <br /> ElI hereby certify under penalty ofperjury <br /> � : <br /> =zthat all <br /> the abovzinventory variations for <br /> "! `"-•• �• �+�. a�iC111ty -ere within the allawabLe Limits for this <br /> quarter. ( 0 in Column 13of the inventory lteconcilistion Sheet) <br /> 13 Iaventorr variations exceeded the aLlovable limits for thisusr <br /> hereby certify under penalty of perjurY that the source for the variation <br /> van not due to an unauthorized (leak) release. (Yes in CoLumm 13 of the <br /> InveatOry Reconcili:tion Sheet) `— <br /> List date, tack #, and amouct for all variations that exceeded the . <br /> ;llovable limits. <br /> Date Tank # Amount <br /> 1. <br /> z. <br /> 3. <br /> 4. <br /> __�� <br /> 5s <br /> A4 ditioask dates/amounts g!,all be continued on, a separate sheet of <br /> Papez and aCtached. <br /> If the source Of the variation which exceeded allowable Limits was due to <br /> leak the incident shall be reporced to' S .J .L.H . D. EavironcentaL Health <br /> WLChin 24 hours and an unauchorized release report submitted. <br /> The quarterly su=mary report shall be +submitted v' <br /> quarter. tthin 15 days of the end of each <br /> Quirts - Jaau■ry --> March <br /> Q�artcr 1 - Apr% l --) Jurle <br /> Quarter ) - July --> ;eptcmhcr <br /> Quarter 4 - October -_) fk cr mber _ <br /> Send to: SAN JOA UIN LOCAL HEALTH D <br /> �' i srK 1 cr <br /> 1601 F. . 1'.sze 1 t ,,R1 . p .o . 1la);t 2(1()`) <br /> Irc;T 40 10/116 Stockton , (:A 95201 466-6761 <br />