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INVENTORY RECONCILIATION <br /> QUARTERLY SUMMARY REPORT FORM <br /> Facility NAmei Tank / site Product <br /> facility Addrease S •3 t - ��"ru Cr - <br /> an c - <br /> Telephone: 'r'� ) g23 `�-3i c <br /> Person Ming �Qse ����� <br /> Report <br /> L hereby certify Wader penalty of perjury that ALL inventory variations for <br /> the above aaeacioaed facility were within the allowable Limits foe this <br /> quarter. (No is columna B of the [avencory Reconciliation Sheer) <br /> QEaveacocr variations exceeded the allowable limits foe this quarter- L <br /> hereby certify modec penalty of per`ryucy chat Che aoucce for the war uCioa <br /> vas not due to as uoauchoriced (leak) ccleaae. (yes in Co Lu 13 of the <br /> [aveacocy Recoa,ciliacion Sheet) i <br /> Liar, date. tack 1. sad a nc for all vac ucloas chat exceeded the <br /> allowable Linica. <br /> Date Tank / AmuaC <br /> Z. <br /> 4 , <br /> 5. <br /> Add lCloa•l da(ea�amwnCa shall be ConCto•.rd On • •ePa Ca[e .heat of <br /> Piper and aC[ached . <br /> I ( Chc •ou CCC at Chc `.arta( .on ..t"<�` � .r••rdrd . I lu...hlr lta. Ct ..at %1�r to <br /> • 1x.4 Chc [nc td<n( •lull Gr rCp•`• <br /> trJ t •` i fl D Envt Cn�w'nt al ilral ( h <br /> vtChtn j4 ho..rt .nJ .n ..n nut Nor rt" r • <br /> . 1i.,�t,. rrl•nrr t,, CCrd . <br /> of Chr Cnd at ract, <br /> I ) <br /> ITtr C•.•rccrir •-...nary rrror[ •hall t•r <br /> . (h .n day• <br /> Qt.aC Ccr I - Lno.rr --> n.r.cl' <br /> �}ufCtf 1 ._ Apr ( l --) 1.. •r <br /> \L <br /> Qva CECC --I - Jl.lr "'> ]c p(<•.1•••r <br /> Q'ur(cr 4 - October <br /> Scnd co: SAN JOAQUIN Itll:nl. IIEAI.Tli ul > IKIC•I' <br /> 160 L,. K. I:azr9l tui;;. V .O <br /> Stockton , CA '1$201 <br /> T 1•u In/ 80 I 19. 0 l�vOn ZUU� <br />