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ImmiroRr RECOxCILIArION OCT 03 R 1 <br /> QUARrCRLY SUMMARY RF-PORT FORM 6 <br /> recility Name= • <br /> 7 S ,/C- �'w0) <br /> ►aeLlit Tank / SiCc <br /> 7 Aldresst / O 4 000 Product <br /> %'oreL <br /> Telephone : <br /> Person <br /> Report • <br /> I hereby certify under <br /> the •bout Kotioned facilit I re"Galt, Of perjury that all inventory variatiooa <br /> �weter. (No im 1 ere within the allowable limits for for <br /> Coluo IJ of chc loveatory Reconciliation this <br /> Sheet) <br /> Qlavewtocy vaciacioaa exceeded the allovable limits for this hereby certify "oder Pcaalt of <br /> W44 mot du Y Perjury that the source for the r. r <br /> e to as uaauthoriacd (leak) release. (Y�s im Col <br /> [aveator the variacioa <br /> Y Rec°ociliat►on Shccc) u n IJ of the <br /> I <br /> r <br /> List dater teak 0. mad a+wtsac <br /> llovable liwica. foe all variatiooa that exccaded the <br /> • <br /> t <br /> Oate Taak / <br /> I atAawat <br /> 2. <br /> �� <br /> J. <br /> ------ ------ <br /> Additional daces/aa.ouots shall be eonCiaued oo a separate sh <br /> P+per and attar bed, ' <br /> ee[ of <br /> if Ctie source of the variation which eccceded allowable lioita v <br /> • leak the of <br /> shall be reported t^ <br /> wi,C hin 24 bowrs +s due to <br /> and an unawtlaoriC . S .CCPGCC U Environmental <br /> the ad rClCase report auD.i Ilcalth <br /> quarter) tied, <br /> gwartnr. y wa.ury rr,porC shall be s..bmitted within 15 days of the end of each <br /> Q,.ar lv. I <br /> Q' . 1 January ._> nor ch <br /> tr.artcr ) y --> <br /> Qaurtcr -VI-CCnhcr <br /> Uctobcr --) 14-Crmher <br /> 'c^d Co: <br /> -SAN JOAQIII(v 1.(II:A1, HEAI.1'Ii 111NTRIC7' <br /> It.111 E . I:ait' ll4411 , P .O . llrlx %IIOy <br /> I IWN6 1lUCkton . CA I)5201 466 -61bl ` <br />