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INYENTORY RECONCILIATION APR 6 <br /> 9 <br /> QUARTERLY SUMMARY REPORT FORM =NVIRONMENTAL HEALD <br /> Facility Name: BEESHE.AItS CI+'EVFON t3�XTWT -3823 PERMIT/SERVICES <br /> Task <br /> Sue Product <br /> 824 EAST YosalITEl v <br /> facility Addres AVENUE Z <br /> Telephone : l'),rLZ1_ x`717 L c <br /> Person Fili <br /> Report <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 is Column 13of the loveococy Reconciliation Sheet) <br /> ❑ IaveRtocy 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 unauthorixed (leak) release. (Yes in Column 13 of the <br /> Inventory Reconciliation Sheet) / <br /> List dater tank Ir and amount for all variations Chat exceeded the <br /> allowable limits. <br /> Date Tank I M.ouat <br /> 1. <br /> 2. <br /> 3. <br /> 4. <br /> 5 I <br /> !-'!s-'ttic==' fa tea:amipuuta sh.11 be continued no a separate sheet of <br /> paper and attached. <br /> If the source of the variation .hath exceeded 31luv3ble IimlCa w s due to <br /> * luk the incident :hall be reported to S .J . I, . H . (I . Enviro nuncntal Ilea l( h <br /> Within 26 hours and an unautho n trd release report sub.itted. <br /> 111c Quarterly sum CY report ■hall be submitted uithin 15 day: of the end of each <br /> Quarter . <br /> Quarter t - January --) M.rtcl. <br /> Quarter 2 - April --> Ju.•e <br /> Quarter ) - July __3 icpCr.hcr <br /> Quartc 4 - October --> o crmher <br /> Send co: SAN JOAQUIn 10(-Al, 11EA1.11; UISTHICT <br /> 1601 E. I!ar.t Iluat , 1' .0 . Ito.t 'Jtl(t') <br /> 40 10/t16 Stockton . CA '15201 466-67hl <br /> Uta' <br />