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(NrEn m RECONCILLANOR APR 2 5 '"' <br /> QUARTERLY SUMMARY RF-PORf FORM ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> rant <br /> Al I Sire Product <br /> Ia,00 <br /> rete_ Hier- S :3 <br /> .2 <br /> BEE <br /> : , t <br /> Telephone: (209) �? 2S - 431U <br /> Person Filing <br /> Reporc ROSe - T- k Affi � <br /> ❑ 1 hereby Certify wader penalty of perjury chat: all inventory variatioas for <br /> the above "Clatioaed facility were within the ■llovable limits for this <br /> q'aarter. (He ret colueo 13of rhe laveacory Keeonciliation Sheet) <br /> Cllaveatocy variations exceeded the allowable limits for this quarter_ t <br /> hereby CCCCify wader penalty of perjury chat Che source for the variation <br /> wan not due to as uaauthorieed (Leak) ce Leaae. (Ter is Col(an 13 of the <br /> LaveaCary Reeoaeiliaeion She,c) <br /> List dace, eaak /, And �nc for aLL variscioa■ that exceeded the <br /> allowable lia.ice. <br /> D_.te Lank <br /> 2 f Ptgt: t 2207 <br /> 3. i�IL(. t 9 77 <br /> c - <br /> 5. <br /> Addicicaal daeCa/tet Qc] [hall be conciaucd oa a aepara Ce [heeC of <br /> PAPOr and aCCAChcd - <br /> 1f Ch< •ovrCC of Chc var (n( .a.. ..I,.ch 11C,-1,t1d al lu..ahic ltm. C. tea[ Cu, CO <br /> a I<ah Chc anC(dcn( [hall be r,r,,rcr,l to ., II �) tout rn.n( al Ilya l Ch <br /> •r . Ch.n jG hours and an anhl . .- Ir.,[. rrrnrt wbc.C[rJ . <br /> 1�.c Q•.af(erlr au�u!r fcpor( ahatl br [ube. ( ( cJ v. ( htn 1 ) dart of (hr cnd of r.,C11 <br /> 7•. •. cry <br /> Qvar(er 1 - Janaary __) ne'(1• <br /> Q'aar Cer 1 - April --) J.,...• <br /> Q•ur C C G - D<(OAC! --) Il�•h•�hcr <br /> +<nd Co: SAN JOAQUIN 1.0CA1. 11th LTIf DISIRICT <br /> 1601, E. H. It s.n.;, la .0 Ito:( 2007 ZOO <br /> titockcon , CA 1;L 20I 4(,6 -G16I <br /> i 1.0 IO/ H6 <br /> arf,. ..y,,.,, .vn'�+,. 'M ;r.• :. o__. .. .. r}R'BI"iti-Q� <br />