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QUARTERLY STATEMENT OF INVENTORY REM7CILIATICN <br /> 1.304 hll ;1 P1i ' I+ '; IItC:L{i <br /> I1111. F:,Oil..1) <br /> I;:I <br /> QUARTER: beginning 1/1 e g <br /> ending 3,G-j/ gg <br /> Daily inventory reconciliation data indicates: <br /> �J Inventory variations were within allowable limits. <br /> [] Inventory variations exceeded allowable limit&. Variations were not due to <br /> an unauthorized release to the environment. Variations are listed below. <br /> ( Total <br /> : Allowable Actual <br /> Variation Variation <br /> Date (Form 5-841 column L) (Form 5-84; column I) <br /> 1. <br /> 2. <br /> 3. <br /> 4. <br /> S. <br /> 6. <br /> (Attach a separate sheet for additional days) <br /> Name of responsible individual (print) /cIt �jl <br /> Signature of responsible individual <br /> Telephone Mmber (facility) <br />