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4 <br /> INVENTORY RECONCILIATION <br /> QUARTERLY SUMMARY REPORT FORM QUARTER ENDED 6/30/87 <br /> Facility Name: TERESI TRUCKING. INC. Tank I Size Product <br /> 1 21,980 DIESEL <br /> Facility •Address: 900 VICTOR ROAD 2 5,00-0 GASOLINE <br /> _LODI. CA. 3 1 000 WASTE OIL <br /> Telephone : (209) 368-2472 <br /> Person Filing <br /> Report JIM HAIRRELL <br /> E] 1 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 Sheetl <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 /> was not due to an unauthorized (leak) release. (Yes in Column 13 of the <br /> Inventory Reconciliation Sheet) <br /> List date. tank /, and amount for all variations that exceeded the <br /> allowable limits. j=1 r�J rra fS + C; f <br /> Date Tank tE AmountI, _ '_.7� <br /> I- 4/2 1 24 u <br /> c�'IJ <br /> 2. 4/8 1 25 <br /> 2. 4/16 1 139 ENVIROMENTAL HEALTH <br /> PERMIT/SERVICES <br /> 4. 4/29 1 21 * SEE ADDITIONAL LIST ATTACHED <br /> 5. 5/6 1 6 <br /> Additional dates/amouots 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 unauthorized release report submitted_ <br /> The quarterly summary report shall be submitted within IS days of the end of each <br /> quarter_ <br /> Quarter I - January --) March <br /> Quarter 2 - April --> June <br /> Quarter 3 July --> Septcmhcr <br /> Quarter 4 - October --> December <br /> Send to: SAN JOAQUIN LOCAL HEALTH DISTkICT <br /> 160L E . NazeIIon . P . O . Hos 2009 <br /> Stockton . CA 95201 466- 67b1 <br /> UCT 40 10/86 <br />