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_ r <br /> CEI V <br /> INVENTORY RECONCILIATION APR 0 9 1992 <br /> QUARTERLY SUMMARY REPORT FORM ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> f3RESHEAR$ CHEVRON 11 <br /> Tank i size Product <br /> Facility Names VIION .�g <br /> Y 8'3 5717 <br /> 82 EAST YU , –i i r <br /> Facility Addt AaN1' Com—I=' AVs,XU C <br /> u'c„1rNIA v,.A tF / <br /> Telephone : <br /> <� 'b-,)' <br /> Person Fili 1 � / <br /> Report _C <br /> I hereby certify under peGalty of perjury that all inventory variations for <br /> the above mentioned facility were within the allowable Limits for this <br /> quarter. (No in Colo= 13of the Inventory Reconcilaation Sheet) <br /> Inventory variations exceeded the allowable limits for thin 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 Colin 11 of the <br /> Inventory Reconciliation Sheet) <br /> List date, tank it and amount for all variations that exceeded the <br /> allowable limits. <br /> Date Tank i Amount <br /> 1. <br /> A. <br /> Z <br /> 4. <br /> S. _ <br /> ikk <br /> ditional dateslamouats shall be continued on a separate sheet of <br /> paper and attached. <br /> It 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 llcal�h <br /> within 24 hours and an unauthorized release report submitted. <br /> The quarterly suod ry rr.port shall be submitted within 15 days of the end of each <br /> quart:'r <br /> Quarter I - January <br /> Q:arter 2 - April --> June <br /> Quart,r 3 - July --> Sep(cmber <br /> Quarter 4 - October --) lisember <br /> Send to: SAN JOAQUIN LOCAI. HEA1.11i DISIRIC'I' <br /> 1 00 1 1i . V.Izc l l nn . 1' 0 It /011'1 <br /> Stockt-on , CA '1}201 46r, -61bl <br /> 1' <br /> 40 10 ! N1, <br />