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INVENTORY RECONCILIATION C <br /> L <br /> QUARTERLY SUMMARY RFFORT FORM JAN 4 21 rd a <br /> raciLLty mama: n . <br /> Size" i dT 6 c't <br /> Tank 0 <br /> I's <br /> lracl,lity- "---drnse-t <br /> 824 EA" <br /> Telephone :�'' NTEt Ar C1,L4'0£u'VIA 95336 <br /> Person Filing, <br /> /2 2 <br /> �hcrcby certify under penalty of perjury that all inventory variations for <br /> the Above mcuti**cd facility were within the allowable Limits for this <br /> %tsirccr. (Wo in Co""' '30C Eike 10vcGC0CY Reconciliation Sheet) <br /> F-1 lavcQtQCY vaciatioas exceeded the allowable limits for this quarter. I <br /> hcccbY 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 /> I tuveocory Reconciliation sheet) I <br /> List date, tank 0, and amount for all variations Chat exceeded the <br /> allowable Limits. <br /> Date rack 0 Amount <br /> 1. <br /> 2, <br /> 4. <br /> Additional daces/,mounts shall be concioued 00 a separate sheet of <br /> paper -nd .C[2chcd- <br /> It the source of the WACi2C ion ..hath r.icecdcd allow ble limits was due to <br /> '. ict%L the Incident shall be reported to S .J . 1. 14 . D . EnvirormcnL31 iica I c h <br /> within 24 hours and in un3ochor.tc4 release report submitted. <br /> The quarterly &,.,, report shall be submitted within 15 days of the end of each <br /> 9..rtrr . <br /> Quarter I - January March <br /> Q'AAr(Cr 2 - April J.".. <br /> Quarter I - July Septe.h.-C <br /> - October Ncrehrr <br /> Send SAN JOAQUIN LOCAI. 11EA1.1-1i DI.SFHI0' <br /> 1601 <br /> ('(;1- ,-1-0 10/86 %tockton . CA 95201 1,60-6 lb I <br />