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•INVENTORY RECONCILIATION RECEIVE <br /> ANNUAL SUMMARY REPORT FORM JAN 2 0 1993 <br /> �NwAer�MEr+ra��Ea�:rH <br /> Year: Tank # Size Product <br /> Facility Name: u - Q <br /> Address: .7J <br /> /1 21 ezo <br /> I hereby certify under penalty of perjury that: <br /> All inventory reconciliation data for this year was within the allowable <br /> variations (No entered at bottom of all Inventory Reconciliation Sheets) . <br /> Inventory reconciliation data for this year was not within the allowable <br /> 121 variations for the months listed below (Yes entered at bottom of Inventory <br /> Reconciliation Sheets) . <br /> List below the tank(s) and the amount(s) for each month that the allowable variation was <br /> exceeded. To determine the amount exceeded, subtract the calculated Allowable Variation <br /> from the Actual Variation on the monthly Inventory Reconciliation Sheet. <br /> MONTH TANK # AMOUNT TANK # AMOUNT TANK # AMOUNT TANK # AMOUNT <br /> January <br /> February <br /> March <br /> April <br /> May <br /> June <br /> July <br /> August <br /> September - <br /> October <br /> November <br /> December <br /> uthofized Signature Date Title <br /> Submit report within 15 days following the end of each calendar year. <br /> Send To: <br />