Laserfiche WebLink
I %o,1) <br /> INVENTORY �. �NEpSN <br /> QUARTERLY RECONCILIATION <br /> SUMMARY <br /> REPORT ORMN��R �\�� <br /> Facility Name: San Joaquin Lumber Co. Tank / Sire Product <br /> 1 l'UUU Cas <br /> Facility Address: 235 W. Scotts Ave. 2 5,000 Diesel <br /> Stockton, Ca. 95203 - <br /> Telephone : (209) 465-5651 <br /> Person Filing <br /> Report Wm. Schneider <br /> QI 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 f, and amount for all variations that exceeded the <br /> allowable limits. <br /> Date Tank I Amount <br /> 1. <br /> 2. <br /> 3. <br /> 4. <br /> 5. <br /> Additional dates/amounts shall be continued on a separate sheet of <br /> paper and attached. <br /> If the source of the variation whichexceeded allowable limits was due to <br /> • 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 --) Harch <br /> Quarter 2 - April --) June <br /> Quarter 3 - July --> September <br /> Quarter 4 - October --) December <br /> Send to: SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E . IlazcIton . P .0 . Box 2009 <br /> Stockton . CA 95201 466-6781 <br /> UCT 40 10/86 <br />