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BRESHEARS CHEVRON #33823 19$S <br /> PHONE: ? INVENTORY RECONCILIATION <br /> 6. <br /> 824 EAST YOSEMITEEMITEAVENUE f"OCT r; <br /> MANTECA, CALIFORNIA 95336QUARTERLY SUMMARY REPORT FORK �;; i ;;: ^! ''`!''•Citi R <br /> facility N l:akf jit" <br /> e <br /> Product <br /> PHONE: 823-5717 823 r <br /> taeility Addrea-"E <br /> M 4NT - ieQgg 'f'EyvZ' . <br /> 22 <br /> Telephone : <br /> Person Filin <br /> ReporC {� Gl u rl 0�6 <br /> -Mr-IL hereby certify under Penalty of perjury that all inventory variations for <br /> the above mestioaed facility were within the allowable limits for this <br /> quarter. (No i.a Colud ltof tkc Envicetcrq �ecarcilc_cicn Sheet) <br /> ❑ Inventory variations exceeded the allowable limits for this quarter. I <br /> hereby certify wader penalty of perjury that the source for the variation s <br /> use oat due to as unauthorized (leak) release. (Yes is Colum 13 of the <br /> Inventory Reconciliation Sheet) I <br /> List date, tank fw and amount for all variations that exceeded the <br /> allowable limits. <br /> Date Tank / Aasouat <br /> 1. <br /> i. <br /> I <br /> 4. <br /> 5. <br /> Additicaal daces/aasouota shall be continued o, a separate skeet of <br /> Paper and attached, <br /> It the source of the variation which exceeded alluw blc Ism,(a as duc to <br /> --leak the incident shall be reported to S .J . 1. . H . D . Environmental Ilcalch <br /> wt(hsn 14 hours and an unaucho,, rcd release report s-vb.icted. <br /> 111e Quarterly sua_urr report shall be submitted within 15 days of the end of each <br /> Quarter . <br /> Quarter I - January --) Harch <br /> Q•,arcer 1 - April --) June. <br /> Quarter ) - July --) ]eptemher <br /> Q•rafCr 4 - oeeober --) 1kc,bcr <br /> Send to: SAN JOAQUIN I( (:AI. 11EA1.1.1; DISTRICT <br /> 1601 )i . I:azell ,nl , I' .0 , Box 21)111 <br /> Stockton , CA '15201 466-62bl <br /> t T 40 IO/M6 <br />