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140, <br /> THIRD QUARTER, 1987 ��`� �� <br /> INVENTORY RECONCILIATION OCT 51987 V <br /> QUARTERLY SUMMARY REPORT FORM ENVIROMENTAL HEALTH <br /> FERMIT/SERVICES <br /> Facility Name: TERESI TRUCKING._ INC. Tank f Size Product <br /> 1 21 980 DIESEL <br /> Facility<Address: 900 VICTOR ROAD 2 5 000. GAS LIN <br /> _LODI, CA, 9 240 3 i.000 WASTE OIL <br /> Telephone : (209) 368-2472 <br /> Person Filing <br /> Report JIM HAIRRELL <br /> ElI 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 13 of the Inventory Reconciliation Sheet) <br /> QInventory 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) releise. (Yes in Column l3 of the <br /> Inventory Reconciliation Sheet) <br /> List date, tank i, and amount for all variations that exceeded the <br /> allowable limits. <br /> Date Tank f Amount <br /> 1. 9/24 1 82 <br /> 2. - 9/30 1 89 <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 which. exceeded 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 unauthorizedrelease 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 /> Qzarter 2 - April --) June <br /> Quarter 3�- July --) septcmbcr <br /> Quarter 4 - October --) tkcember <br /> Send to: SAN JOAQUIN LOCAL HEALTH UIS'FRIC1' <br /> 160L E. l:azeIton • P .0 . Hos 2009 <br /> Stockton , CA 95201 466 -67b1 <br /> U(;T 40 10/ 86 <br />