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INVENTORY RECONCILIATION <br />QUARTERLY SUMMARY REPORT FORM <br />tacilit� Kms; Stockton AASF <br />Tank I <br />bac;�ttr Address; 2000 Stimson Rd. ISSUE #1 <br />S.t�kton, CA. 95206 SUE #2 <br />Telephone: 209) 982-3880 — <br />Person Filing <br />Report SFC Curt Lance <br />Size <br />Product <br />JP-4JP-4 <br />a r„ <br />❑ I' hereby certify ander <br />the above Pe°alty <br />of perjury that mil inventory variatiooa for <br />reationed facility were within the allowable li.its f <br />quarter. (No is Colum t3 of the Iaveetocy Reconciliatior this <br />on Sheet) <br />Qt:aveatacr variatiooa eaeeeded the allowable lis,ics for hecebr certify coder peach of this quarter. t <br />vas Got due to as unauthorized (leak)rcelease- (yethe a in Colurce c the variation <br />Iavcatory Reconciliation Sheet) — '� t3 of the <br />' List date, tack I, cad aaouat for <br />all variations that exceeded the <br />allovable links. <br />Date Tack <br />bow n t <br />I• ..4&.t 5 _____ ISSUE'#1 -139 <br />2• Oct 12 ISSUE #2 -139 <br />�• Nov 1 ISSUE #1 -205 <br />4. Dec 1 ISSUE #1 -129 <br />S• Dec 2 ISSUE #2 +261 <br />Additional dates/vola shall be <br />PaPec and attached. continued oa a separate sheet of <br />IE the source of the variation vhict <br />e leak - exceeded allowable limits WAS due to <br />[he incident shall be reporteJ t,* <br />"thin 24 hours and an unauthorised S •J . L•. H. D. Environmental ilea i th <br />cica:e report :ubeitccd. <br />rhc quarterly suma.,rr report <br />Quarter. shall be Kubmitted within IS days of the end <br />of each <br />Quarter l — JagVa <br />ry M.1rcfs <br />Qvactec j _ <br />April --� June <br />Quarter ) - Jul --> ScPkcmh.:r <br />artec 4 - October -_ Q <br />•Ccm,T'c'' �% <br />Send to: � �'" • <br />SAN JOAQU IN LOCAL HEAL71; U I ti'1'H t C7 <br />1601 E. 1:a2t• 114'11. 1' .0. 114,; 2001) <br />UGI v,UIn/H!, titockton, (:A 95201 46(, 67b1 <br />y Y' <br />JAN <br />Y <br />'• <br />Nie �"r� �.�.�6 1 <br />Size <br />Product <br />JP-4JP-4 <br />a r„ <br />❑ I' hereby certify ander <br />the above Pe°alty <br />of perjury that mil inventory variatiooa for <br />reationed facility were within the allowable li.its f <br />quarter. (No is Colum t3 of the Iaveetocy Reconciliatior this <br />on Sheet) <br />Qt:aveatacr variatiooa eaeeeded the allowable lis,ics for hecebr certify coder peach of this quarter. t <br />vas Got due to as unauthorized (leak)rcelease- (yethe a in Colurce c the variation <br />Iavcatory Reconciliation Sheet) — '� t3 of the <br />' List date, tack I, cad aaouat for <br />all variations that exceeded the <br />allovable links. <br />Date Tack <br />bow n t <br />I• ..4&.t 5 _____ ISSUE'#1 -139 <br />2• Oct 12 ISSUE #2 -139 <br />�• Nov 1 ISSUE #1 -205 <br />4. Dec 1 ISSUE #1 -129 <br />S• Dec 2 ISSUE #2 +261 <br />Additional dates/vola shall be <br />PaPec and attached. continued oa a separate sheet of <br />IE the source of the variation vhict <br />e leak - exceeded allowable limits WAS due to <br />[he incident shall be reporteJ t,* <br />"thin 24 hours and an unauthorised S •J . L•. H. D. Environmental ilea i th <br />cica:e report :ubeitccd. <br />rhc quarterly suma.,rr report <br />Quarter. shall be Kubmitted within IS days of the end <br />of each <br />Quarter l — JagVa <br />ry M.1rcfs <br />Qvactec j _ <br />April --� June <br />Quarter ) - Jul --> ScPkcmh.:r <br />artec 4 - October -_ Q <br />•Ccm,T'c'' �% <br />Send to: � �'" • <br />SAN JOAQU IN LOCAL HEAL71; U I ti'1'H t C7 <br />1601 E. 1:a2t• 114'11. 1' .0. 114,; 2001) <br />UGI v,UIn/H!, titockton, (:A 95201 46(, 67b1 <br />