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INVENTORY RECONCILIATION <br /> QUARTERLY SUMMARY REPORT FORM ENVIROMENTAL HEALTH <br /> QUARTER ENDING 6-30-88 F Er*,!r1/SEVAIICES <br /> Facility Name: TERESI TRUCKING, INC. Tank f Size Product <br /> 1 21.980 DIESEL <br /> Facility Address: _ 90015 VICTOR ROAD 2 5-,0--00- GASOLINE <br /> LODI, CA, 95240 3 1.0-0-0- 4ASTE OIL <br /> Telephone : 209 368-2472 <br /> Person Filing <br /> Report JIM HAIRRELL <br /> X❑ I hereby certify under penalty 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. L <br /> hereby certify under penalty of perjury that the source for the variation <br /> was not due to an unauthorized (leak) rel"se. (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 /> 1_ <br /> 2. <br /> 3. <br /> 4. <br /> 5. <br /> Additional daces/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 Hcalth <br /> within 24 hours and an unauthorized release report submitted_ <br /> The quarterly summary report shall be submitted within 15 days of the end of each <br /> quarter_ <br /> Quarter I - January --) March <br /> Qlarter 2 - April --> June <br /> Quarter 3\ - July --> September <br /> Quarter 4 - October --) December <br /> Send to: SAN JOAQUIN LOCAL HEALTH DISTHICT <br /> 1601 E . Hazelton , P . O . Box 2009 <br /> Scockcon , CA 95201 466 - 6761 <br /> UCT 40 10/ 86 <br />