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OCT I I 490D <br /> INVENTORYfORY RECONCIt1AttOM OCT 90 <br /> �.s,.�V1RC�� �4j�Es� L. AL <br /> QUARTERLY SUMMARY R F•POR t FORM I)E h;`j s i/S,E R`= ,C'E'S <br /> racitlty Kasc: tockton AASF <br /> Tank t Site <br /> Irs'dIlty.Address; Product <br /> —2 00 Stimson Rd. 20,000 Gal. -4 <br /> CA. 95206 20 000 Gal J:Telephone: �n---A -3880 <br /> Person Filing <br /> Report SFC LANCE <br /> I' hei•ebr certify under penalty of perjury that all i <br /> the above ationed facilit cntory variatioas for <br /> i <br /> quarter. T vete vithin the allowable Limits <br /> limits for this <br /> (No s Colusao 13 of the Inventory Reconciliation Sheet) <br /> CI s <br /> Lnveatory variations exceeded the atLotisbte lions for chis r <br /> 6etebr cectifr under quarter. <br /> Y <br /> peaatty of jerk) c that the source Ear the variation <br /> V4@ <br /> ® ooc due <br /> to as uaauehocised (teak' release. (Yes is Col <br /> Lnvectocy Reconciliation, Sheet) 13 of the <br /> List dace, tank t and <br /> ® nt for all variations that exceeded the <br /> ailowabte tries. <br /> Date rack <br /> 1• -_._r f AI mou c t <br /> 2. <br /> 4. <br /> S <br /> Additional dates : ,w <br /> ®aVOts shall be eontioucd o® a separate sheet of <br /> "Per and atcacheQ. <br /> LE Che source of the <br /> variation vhicF <br /> leak h . exceeded allowable 1tmiCs was dus: to <br /> t e incidcnc :hall be ccrocccJ cn <br /> within Z` hours anQ :n unauthorized release Envicon©cntat 1lcatth <br /> e report submitted. <br /> . rhe gvactectr sumo,arr report <br /> quarter. shaft be submitted within 15 days of the end of each <br /> quarter 1 - Jacuary M.trch <br /> Quarter 2 <br /> April --) June <br /> Quarter 1 <br /> Duty --) Scptcmh.:r <br /> Quarter 4 - Octobcr __) ak ccmbcr <br /> Send Cot ,k <br /> SAN JOAQU IN LOCAL HEALTU DISTRICT <br /> � ,M <br /> 1001 K. 11.1zt•1 t tact® P.O. Ib►x 1001) <br /> Ntockton. t.A X15201 4Gt, ` <br /> U`!1' '4U lnlMe� G1b! <br />