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lit <br /> INVENTORY RECONCILIATION <br /> rA <br /> ' QUARTERLY SUMMARY REPORT FORM <br /> teei;1ty KOMI RMC-LONE STAR INUIISTRIES, LNC. tank / Stte Product <br /> ;�' �► 1 19000 %in eAced-` <br /> j ►' '!'�1eLllty;Address! 30350 S. Tracy Blvd. 2 <br /> _Tracy, Ca. 95376 3 _ 1.000__ _-t)iesel 562 <br /> € ' Telephone ! 209-835-1454 4 _ 560 _ :Waste oil _ .t <br /> person Filing 5 _ 7,000- Diesel 562 <br /> Report BILL KELTON <br /> t hNreby eettify undler penalty of perjury that all inventory variatinris for <br /> tbu Abova mentioned facility sere within the allowable limits for this <br /> %uattar• (No in column 13of the tnventory Reconciliation Sheet) <br /> teventory variations exceeded the allowable limits for this quarter. I <br /> h4taby eartify undet penalty of perjury that the source for the variation <br /> was dot due to an uasuthorited (leak) release. (Yes in Gilumn 13 of thf! <br /> Inventory Reeoneilistion Sheet) <br /> List datev took /o and amount for all variations that exceeded the <br /> allowable limits. <br /> + • bate Tank / Amount <br /> 4 <br /> "Vol DEC 2 <br /> 4. <br /> T, HEALTH <br /> {r Additional dates/amounts shall be continued on a separate shee, 1) <br /> paper and attached. <br /> SOUtse Of the Variation ;,hick. exceeded oliowsl.le� limits u39 dust to <br /> ``4,1e11k the incident shall be reported to Fnvirotunental Health <br /> tthitl 24 houti and, an unauthorited release report submitted. <br /> r1j?��I� rUltEltlr atlamaary report •hall be submitted within IS days of the enol of each <br /> Quarter 1 - January Hench <br /> .' ' Qiarter 2 - April --> June. <br /> - �� anter 1 - July --> September <br /> 'Rt r Quarter 4 - October --> Otcembet <br /> s <br /> a. 34Ad tos SAN JOAOU I N LOCAL HEAL-1•11 DISTRICT <br /> y 1601 I'. . Ilaze I 1 (m , 1' .O . Box 2009 <br /> St_uckLoti , CA 95201 466 -67bl <br /> '140 10/06 <br />