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11WENTORY <br /> 4 <br /> FaciliLV Names. JEMCO cardlock _ <br /> ia <br /> Facility Address. 10415 E . Waterloo RJ � T--� 0 nnn <br /> Waterloo.,—CA -95215- <br /> Telephone: <br /> aterloo ,C.A 95215 ` <br /> Te.l ephone: 2 09 , 944-9115 <br /> Person, Fil n — ff <br /> Report: <br /> Hl Gordon Ellery - 189—_ i g® 7�r <br /> I here:r' Mr��.lfy u_der penalty of perjury that all invencor <br /> ovariatio�_s for tha mwithin mentioned facility were they <br /> all wab> l mit, for this quarter . MQ in column 13 of the <br /> Invert.ozy Racvncilia.tion Sheet. ) <br /> Invent zy variations exceeded the allc;rabze l i rite for t Is <br /> q.aavtar . I hereby certify undzr penalty 0 per jury that the <br /> ralaase.souroo fcs the variation was not due to al,:ti;crizai (leak)�:�A 13 0f the Iia�rento.:1 �cF:>....7;r�i.�i2,tio;� <br /> Sheet) . <br /> List date, tank #; anount for all variations and the reazon <br /> fOW exceeding the allowable limits. <br /> Tank <br /> Amnon <br /> Rea 5 on <br /> 3} . <br /> L . <br /> 3 , <br /> 4 . <br /> 5 <br /> Additional dates/amounts shall ba <br /> cron`inund On a senor:Ta <br /> sheet of paver and attached , <br /> If <br /> t4e s;��1.�le of tha Va: aticn whit e=ae" ed allcwa" � <br /> ljnj . <br /> Nae- tp �WAsh , the incident shall L= reported to y lic <br /> N� '� � -�rfSar: Joaquin county Environmental health <br /> ., �n wi ty--fou (2 -) hours and an unauthorized <br /> r ase report submitted. <br /> The quarte y sui`nzary MOM shall ba Sll'xt't2 ted within fi teen (15) chez c <br /> tha end of each quarter, Cirwin aPaopriate quarter. <br /> Q .a aL v 4 * Monier <br /> ` � .� " � .. w� . s�s�✓2Ci.Le <br /> S n tq• SAN 7.1 c'A4'T-fi C 'i'.. PUBLIC WY..r,.T SERVICES <br /> 'F'r,VCES <br /> 1601 E . "_ _ - Ave, , _ ,/i <br /> ryry, B o:: 20K <br /> r3 _ : - _ CA 9.J Vw <br />