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9 := - t9U V F1E F' E TP 1LF�h1 P _ tin ,. <br /> INVENTORY RECONCILIATION <br /> }} QUARTERLY SUMMARY REPORT FORM <br /> raeiliej Mara:FaA � Ssryu; ��tl�l' � �� Tank f Stir Proauet <br /> #ecildty Addteael ���il)Z) �. Cts � ;rJi`r�a,�fvi� -. � <br /> �✓ Ann'- f �i... +�.-�.�jf n _ .. <br /> Telophonq lJq nLi <br /> Parana <br /> Wport (r�,ltn <br /> lei L bareby certify un"t posalty of perjury that all inventory vardaticas for <br /> the above w*stiom*d facility were within the allowable limit$ for thin <br /> a(+r n"t (Ya Le Colum tDof the lmvestory Recoaeiliatioa Sht*t) <br /> J ] Lavoutory variatiowe exceeded Cho allevable ' lisits for this quarter. t <br /> T r beremy certify usdar paaalty of perjury that the eouru for the variation <br /> W" sot due to an wwwthoriaed (leak) nleaaq. (yet in Column 13 of Cho <br /> Iavostacy► plmaomeilLstide ibeet) <br /> Liat data$ took !e sed simouot tot all vaciatiosa th4A exceeded th.v <br /> allawbla lisdta. <br /> iaa+c E Asw�ast 9 <br /> t �3 <br /> 40 <br /> i• ..y <br /> Additional dates/aewunts shall ba routiau*d oa a sepacnGA V* 'et <br /> paper and attaebd. f ;_ <br /> It the source of tba variation which saededad allowable limits vas dun to <br /> a leak the incident sball be reported to S,J .L.H.D. Eavironmental Health <br /> tticbts 24 baura ad am smauthoriaed rales** raport submitted. <br /> IU q"rtarly summary raper& shall be submitted within IS days of the sad of each <br /> quarter. <br /> Quarter i - Jaeuary tb <br /> -.: Quarter 2 Aprit -no A' <br /> Quarter 3 - July ») saptomher <br /> Quarto 4 - OeWoo r »� Cacembat <br /> $*&A tot SAN JOAWJO.. LOCAL. HVALTH DISTR;CT <br /> 60l B. "lhlt>rltonr'"1' •0• Box 2009 <br /> Stockton , CA 95201 466-6181 <br /> UCS 40 10/86 <br /> • t < , <br />