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IN YEN TORY RECONCILIATION <br /> QUARTERLY SUMMARY REPORT roanVVIRO,y,MENTALHEALT;i <br /> Facilicjr Naa,: � PERMIT .S <br /> TSV . N T/SERVICES <br /> ICES <br /> raeilit Tank I Site <br /> Y Addreaa; rf( OQ / Product <br /> Telephone : ( <br /> Person Filing ) �( cy S u r <br /> Report �*P � � r;'f <br /> [� �moksi `°� S C. <br /> pq 1 hereby cerci( <br /> the above •y under Penalty of perjury that all inrcn[or <br /> �eoeaoned facility were within the allowable Limits <br /> Quarter, (Ho is flu® 1) y variations for <br /> of Che Loveotory Reconciliation it,Shefor <br /> this <br /> ❑ inventory variacioaa <br /> hereby certify, <br /> eaceedcd the allowable liana <br /> y uadcc peoalty of Perjury for Chia Vuarter. <br /> was nor due to as unauthorised 1 y that the source for l <br /> lnveatory Reconciliation Sheec)(luk) release. the variation <br /> (Y�s is Colum 13 of the <br /> Ciac date. teak /a no amount <br /> for all variations <br /> allowable /Twits, <br /> chat exceeded the <br /> Date Taok ! <br /> 1. Juaouoc <br /> 2 - <br /> 4 <br /> Additioa■l dates/amounts shall be Conti oucd <br /> Paper and attached. <br /> oa ■ cepa ra Ce ■heet of <br /> [f (tic source of Eh <br /> c variation which ex <br /> ■ leak Chc (ncidcn( atoll <br /> Within be reported ceeded alluwble limits vas due to <br /> 24 hours "ich to <br /> and an ted <br /> .,na"Chor "3 -J I- If 0 . enviro i <br /> rcicase report Submitted. nmenCal <br /> Ilcal (ti <br /> iT;c Quar(<rly aua.mr <br /> Qua rte r, y re(wrt shall be Rn bmi <br /> C1 ed within IS days of the end of each <br /> Lnuary __) M.i. ch <br /> Q.atfr. <br /> _ <br /> Apr II <br /> (1r.ar[cr 1 July <br /> Q•ur(cr G �c'P(cmhrr <br /> " UC Cobcr --) IA•crmhcr <br /> 'end CO: <br /> SAN JOAQUIN 1.O(.A1, IIEA1,7'li UIS'fl( I(;'1' <br /> 1401 F: . I:ar( Hll.r <br /> 10/ft(I 'kockton • (:A 4)5201 466 -6161 <br />