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INVENTORY RECONCILIATION HF-ALT" <br /> QUARTERLY SUNNARY REPORT FORK tif2V1RON�lE(�FR�IICES <br /> Facility Nane11JMHEARS CHEV$ON #3-382A Tank 1 <br /> Size <br /> racitity AddreProduct <br /> a 8� EAST YOSFARTE AVWUE <br /> �►mIAANN <br /> 5336 , <br /> Telephone : — <br /> Person Filin <br /> Report .� a U��.i>n- <br /> l I <br /> lXl 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 in Colum 13of the Inventory Reconciliation Sheet) <br /> ❑ Inventory variatioas 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 so unauthorized (leak) release. (Yes in Colum 13 of the <br /> ( Inventory Reconciliation Sheet) ( <br /> Gist date. tack /, and +amount for all variations chat exceeded the <br /> allowable limits. <br /> oat�e Tack / Amount <br /> 1. <br /> 2. <br /> 3. <br /> 4. <br /> S. r <br /> Additional dates/amounts shall be continued on a separate sheet of <br /> Paper and attached. <br /> If (he source of the variation which cxceedcd allowable limits was dc to <br /> a or (cd to leak the tncsdcnC shall be rc <br /> P S (. . I{ . D . Envtronmcn(al Ilcal ( h <br /> i <br /> wthin 24 hours and an unau(hor.ud release report submitted. <br /> STc Quar(crly " ary repot( shall be swbmi(ted within 15 days of Che end of each <br /> Quar(nr . <br /> Quarter I - January <br /> Q•ra tier 7 - April <br /> Quarter 3 - July __j Sep(Cmbor <br /> Q.urtc 4 - October --) Il�ce.her <br /> Send co: SAN JOAQUIN LOCAL. HEAI.I'li UISI'HICT <br /> 1601 li . I!ar.(• It ..n , I' .O . Itox 211(1'1 <br /> 40 10/ N6 Stockton , CA '15201 466 -62bl <br /> UI a' <br />