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INVENTORY RECONCILIATION <br />QUARTERLY SUMMARY REPORT FORM <br />NMW: -LONE STAR INDUSTRIES, INC. <br />i,Atiiy',Addressv 30350 S. Tracy Blvd. <br />�racy, Ca7 9,5376 <br />one - 209-835-1454 <br />Irson Fiiing <br />;P" 'RICH BIER <br />Qi Gr) <br />I hereby certify undec 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 Sheet) <br />aveatocy variations exceeded the allowable limits for this quarter. I <br />P, <br />hqctby certify under penalty of perjury that the source for the variation <br />Vat not due to an unauthorized (leak) retes'se. (Yes in Col um 13 of the <br />-Inventory Reconciliation Sheet) <br />List date, tank #, and amount for all variations that exceeded the <br />allowable limits. <br />Date Tank I Amount <br />r. <br />3. <br />4. <br />5. <br />Addition4t dates/amounts shall be continued on a separate sheet of <br />paper and attached. <br />f,the, source of the variation which. exceeded allowable limits was due to <br />leak the incident shall be reported to S J L H D <br />Environmental, Health <br />kthin'24 hours and an unauthorized release report submitted. <br />,.quarterly summary <br />report shall be <br />submitted within 15 days of the end of each <br />ttec <br />Quarter I <br />- January <br />March <br />Quarter 2 <br />- April <br />June <br />(J� �ar t e �r3 <br />- July <br />September <br />Quarter 4 <br />- October <br />Ik-cember <br />to SAN JOAQUIN LOCAL HEALTH DIS-1-RICT <br />