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1 <br /> INVENrORY RECQNCILIAr10N Com_ <br /> QUARTERLY SUMMARY RF.PORr FORM <br /> hcilicy Naw: <br /> _ Tank I Size <br /> heility M4reaa: 1,4goo1 Product <br /> IJ. •[.Iwo � I� aao <br /> 2- <br /> o <br /> Te Laphone : RQ� 0 <br /> /J o <br /> Z - <br /> Peraon FLling --�_ a s Z <br /> Reporc <br /> �• ---=��iL�Q w. A.�G O a. •�i <br /> �l [ ltereb <br /> 1 tetti(y under peoalcy of perjury that al( inventory variation, for the above mea(140 , ned facility were within the sLLovable limits for this <br /> quartet. (No is Colum 130f the Loveotory teeoneiliation Sheet) <br /> a <br /> hereby <br /> vac madec exceeded the allowable limit• for this quarter, <br /> y certifyPeaalt o[ I <br /> ,was <br /> aoc du y perjury that the source for the variacioa <br /> e to as iation S Unauthorized (leak) celeise. (Y�s im Column 13 of the <br /> [aveacocy Reconciliation SAeec) <br /> 1 1 <br /> List dater cook mad +mount <br /> owable Limits. <br /> for all variacioa• that exceeded the <br /> all <br /> I <br /> Dace Taok <br /> 1• Amouoc <br /> 2. _ <br /> 3. <br /> s. JAN 0 3 1992 <br /> ENVIRONMENTAL HEALTH <br /> Addic►ooal due, PERMIT/SERVICES <br /> /+.Quota shall be continued oa • •ep.race •heel of <br /> Paper and attached• <br /> Lf ctie source of the variation ""Ch exceeded alluvable limits w <br /> • leak <br /> the tnc[dent shall be rrpur teJ to as dv¢ co � <br /> "Chin 2G huur-a and anS .J . L. H , D. EnvirQnaacncal Ilcal [h <br /> unauthorjscd rc lease report submitted. <br /> (he quarterly awa.yry report shall be ,upwilted within 1$ days of the <br /> quarter, <br /> end of each <br /> (1\aattr� 1 Janus <br /> Q•uatr,a - April __� <br /> t)a•artr. a 1 _ Juoc <br /> J..1 <br /> Q•urlCr Ly --) .lcptCwhcr <br /> - <br /> October .-) IArermbcr <br /> :end co: SAN JOAQU I N 1.()(:AI, HEAL-1•1i <br /> 1601 E . 11,17.[ I l lift . P .O. Illlx 21)(14) <br /> 101hO SLuckton . CA 45201 466.6lbI f <br /> 1 <br />