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INVENTORY RECONCILIATION <br />{ QUARTERLY SUMMARY REPORT FORM <br />1!acitky N t <br />Stockton AASF <br />laCil=tr•A,ddcess; <br />2000 Stimson Rd. <br />Telephone: ; <br />P <br />Rtockton] CA. 95I- <br />5 - <br />�"'"'"-'- <br />209 <br />Person Filing <br />982-3880 <br />9 <br />Report <br />SFC Curt Lance <br />0 <br />thereby certify under Peo•tt f <br />the above meationed y oPerjury that all inventory variations for <br />quarter. ( facility were Within the allowabte Limits for this <br />No is Columa 13 of the 1""Cory Reconciliation, Sheet) <br />X fnveatocy v:ciatsons cxceedcd the allowable limits for this quarte <br />hereby certify under pcaalt y of Perjury chat the source for 4 r' t <br />Was QoC due CO as ucauthociced (III cele�(Yes is Columnthe vgtiacioa <br />Laveaiory iteconciliatioa Shect) se.13 of the <br />' List date. tack I sad <br />• at for all vatiatioos that exceeded the <br />allowable ti -its. <br />Date <br />w I,b 18 JAN 90 <br />F <br />R 9 0 <br />Tack E <br />ISSUE I <br />ISSUE 1 <br />ISSUE 2 <br />ISSUE 2 <br />Amount <br />-111 <br />-171 <br />-140 <br />-148 <br />A- oaat dates/:mounts shah be <br />PaPec and a e®ati®ut6 on, . separate sheet of <br />ttached. <br />!f the source of the variation vhicts exceeded attowablc limits was <br />• teak the incident shall be reportcd Co <br />Within I4 hours and an unauthori:ed relcass ep®rN.0 badui: Co <br />Ecccao nt't Health <br />The quarterly su rr re(wrt shall be auboittcd within 15 daps of the end of esch <br />Quarter 1 - January March <br />Q.arter 2 - April --' Jue®e <br />Quarter 1 - July <br />Qvacccr 4 - occobcr --, (kce.bcr <br />Send Co: <br />SAN JOAQU t N 1.0CA1, HEAL1'le U I S -1'k i C•l <br />1601 i:. v I ( Q►)) • 1'.0. 114).4 Zoo) <br />U(:"'4 t1 Stockton. (.A 95201 46C 6761 <br />a <br />