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INVENTORY RECONCILIATION <br /> QUARTERLY SUMMARY RFPORT FORM QUARTER ENDING DEC 31, 1989 <br /> OCT, NOV DEC <br /> Facility Name; TERESI TRUCKING INC RW- <br /> A <br /> [ <br /> Facility Addreaa; 900 VICTOR ROAD <br /> LODI, CA E <br /> L <br /> Telephone : 209-368-2472 <br /> Person Filing <br /> Report JIM HAIRRELL <br /> I hereby certify under peaalty of perjury that all inventory variations for <br /> the above mentioned facility were within the allowable limits for this <br /> quarter. (No in Column 13of the Inventory Reconciliation Sheet) <br /> Inventory variations exceeded the allowable Limits for this quarter. I <br /> hereby certify under penalty of perjury that the source for the variation <br /> vas not due to an unauthorized (leak) release. (Yes in Column 13 of the <br /> Inventory Reconciliation Sheet) <br /> List date, tank 1, and amount for all variations that exceeded the <br /> allowable limits_ <br /> Date Tank f Amount <br /> 2_ <br /> 3. <br /> 4. <br /> 5. <br /> Additional dates/amounts shall be continued on a separate sheet of <br /> paper and attached. <br /> If the source of the variation whichexceeded allowable limits was due to <br /> a leak the incident shall be reported to S .J . L . H . D . Environmental Health <br /> within 24 hours and an unauthorized release report submitted. <br /> The quarterly summary report shall be submitted vithin 15 days of the end of cacti <br /> quarter_ <br /> Quarter 1 - January --) March <br /> Quarter 2 - April --> June <br /> Quarter 3 - July --) September <br /> Quarter 4 - October --) December <br /> Send to: SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. HaZeIL011 . P .O . BOX 2009 <br /> Stockton , CA 95201 466 -67b1 <br /> U(;T 40 10/ 86 <br />