Laserfiche WebLink
6 0 <br /> ` INVENTORY RECONCILIATION <br /> QUARTERLY SUMMARY RCPORI fORH <br /> Facility Name: Cal-Sierra Pipe Inc. Tank 8 Size Product <br /> 1 <br /> Facility Address: 3033 S. Highway 99 550 Unld. Gasolin <br /> Stockton, CA 95205 <br /> Telephone : (209) 466-0988 <br /> Person Filing <br /> Report Larry Gorham <br /> 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 inventory Reconciliation Sheet) <br /> L^..) 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) reLeise. (Yes in Column 13 of the <br /> Inventory Reconciliation Sheet) <br /> List date, tank 1, and amount for all variations that exceeded the <br /> allowable limits_ <br /> oft <br /> Date Tank / Amount R �` <br /> 1- <br /> 2' <br /> AR 2 <br /> ENVIRONMENTAL <br /> NMENTAL HEALTH <br /> 3. PERMIT/SERVICES <br /> 4. <br /> 5. <br /> Additional daces/amounts shall be continued on a separate sheet of <br /> paper 2nd attached. <br /> If the source of the variation which exceeded allowable Limits was due to <br /> a ienk the incident shall be reported to S .,) , I,. H . D . Environmental Ncalth <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 - Ju[X Septemhcr <br /> Quarter 4 - Oc[o bcr --) Ih ccm xtr <br /> Send co: SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 l:. Haze I t 'M , P . O . Rom 2009 <br /> Stockton , CA 95201 466 -6781 <br /> UC1' 40 10/ 86 'gZd <br /> 10 a/.z&/qo <br />