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w • - <br /> QUARTERLY STAT=?r OF INVFNIMY REMWILLATION <br /> 131C1(j<11)N CE:147ER <br /> I30-'i WP11 MAIN 7STRI:_E <br /> REGI11_AR <br /> QUARTER: beginning I i <br /> ending 4,) F'- <br /> Daily inventory reconciliation data indicates; <br /> ® Inventory variations were within allowable limits. <br /> ❑ Inventory variations exceeded allowable limits. 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 /> pate (Form 5441 column L) (Form S-84; column I) <br /> 1. <br /> 2. <br /> 3. <br /> 4. <br /> 5. <br /> 6. <br /> (Attach a separate sheet for additional days) <br /> Name of responsible individual (print) 7,v "r2- <br /> - <br /> Signature of responsible individual <br /> Telephone Number (facility) _�,V4, <br />