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INVENTORY RLCONCILIA'l'TO1J QUARTER ENDING 9-30-91 <br /> QUARTERLY SUMMARY REPORT FORM JUL, AUG, SEP <br /> Facility Name : TERESI TRUCKING INC. Tank # Size Product <br /> 1 21.980 DIESEL <br /> Facility Address : 900 VICTOR ROAD 2 5,000 GASOLINE <br /> DI CA 95240 3 1,000 WASTE OIL <br /> Telephone: _ 209 368-2472 <br /> Person Filing <br /> Report: JIM HAIRRELL <br /> I hereby certify under penalty of perjury that -all inventory variations <br /> for the above mentioned facility were within the allowable limits for <br /> FXIX this quarter. (No in Column 13 of 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 varia- <br /> tion was not due to unauthorized ( leak)_ release. _IC _in_Col_umnI13 -of <br /> --- -i — <br /> u�ie�nvencory Recoaicilation Sheet) . <br /> List date, tank # , and amount for all variations that exceeded <br /> the allowable limits . <br /> Date Tank # Amount <br /> L R i � ..r <br /> 1 . CT 0 4 1°91 <br /> 2 . <br /> 3 . NME.NTAL HC,AL'1' <br /> pFa�gIYfSEFtVICES <br /> 4 . <br /> 5 . <br /> Additional dates/amounts shall be continued on a separate sheet <br /> paper and attached . <br /> If the source of the variation which exceeded allowable limits was <br /> due to a leak, the incident shall be reported to San Joaquin Local <br /> Health District; Environmental Health Division, within twenty-four <br /> ( 24 ) hours and an unauthorized release report submitted. <br /> The quarterly summary report shall be submitted within fifteen ( 15 ) days <br /> of the end of each 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. Hazelton, P.O. Box 2009 <br /> Stockton, CA 95201 468-3420 <br /> LII 23 019 10/86 <br />