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Person Filing <br />Report BOYD GROVES <br />I hereby certify under penalty of perjury that all inventory variations <br />the above -rationed facility vece vithin the Altovable li+aits for this for <br />4uactcc. (No in Column 13 of the-luventory Reconciliation Sheet) <br />❑ Inventory variations exceeded the allovable limits for thisuar <br />hereby certify under penalty of perjury that the source for the variation <br />vas not due to Am unauthorized (Leak) ccleise. (Yes in ColuMnA3 Of. the_. <br />Inventory Reconciliation Sheet) <br />List date, tank 1, And amount for all variations that exceeded the <br />Allovable limits- <br />Datc Tank f Amount <br />2..3. <br />3. u, <br />4_ <br />Additioaxl dates/,muata Shall be continued on a scp:cate sheet of <br />paper sad atcached. <br />If the source of the variation vhich.exceeded aI'lovab(e limits vas due to <br />.c lcxk the incident shall be reported to S.J.L.H.D, Environmental Ucalth <br />Within 24 hours and an unauthorized release report submitted. <br />Quarterly <br />QuuaArter. summ,ry report shall be Fubmitted vithi, 15 days of the end of cacti <br />Qvacccc 1 - Janvscy._-) Nacch • <br />Q1acccc 1 - April --> Junc <br />Quacccc J - July --> Scptcmhc:r <br />Queerer 4 - October --> December <br />Send to: e <br />SAN JOAQUIN LOCAL.- HEALTH D IS'1'K 1C•C <br />1601 1:.. Harr I t <�ii , t' , 0 . 11ox 2009 <br />Stockton, CA 95201 466-67b1 <br />T t- O 1 O / 116 <br />INVENTORY RECONCILIATION <br />1-12-93 <br />QUARTERLY SUMMARY <br />REPORT FORK <br />Facility Name; <br />D S S COMPANY ' <br />P:clli ty;Addccss; <br />f <br />Site Product <br />10,000 . <br />639 W. CLAY STREET. <br />STOCKTON, CA. 95206 <br />MD2' <br />i0 000. DIESEL <br />Telephone: <br />209-948-0302 <br />6,000 DIESEL <br />Person Filing <br />Report BOYD GROVES <br />I hereby certify under penalty of perjury that all inventory variations <br />the above -rationed facility vece vithin the Altovable li+aits for this for <br />4uactcc. (No in Column 13 of the-luventory Reconciliation Sheet) <br />❑ Inventory variations exceeded the allovable limits for thisuar <br />hereby certify under penalty of perjury that the source for the variation <br />vas not due to Am unauthorized (Leak) ccleise. (Yes in ColuMnA3 Of. the_. <br />Inventory Reconciliation Sheet) <br />List date, tank 1, And amount for all variations that exceeded the <br />Allovable limits- <br />Datc Tank f Amount <br />2..3. <br />3. u, <br />4_ <br />Additioaxl dates/,muata Shall be continued on a scp:cate sheet of <br />paper sad atcached. <br />If the source of the variation vhich.exceeded aI'lovab(e limits vas due to <br />.c lcxk the incident shall be reported to S.J.L.H.D, Environmental Ucalth <br />Within 24 hours and an unauthorized release report submitted. <br />Quarterly <br />QuuaArter. summ,ry report shall be Fubmitted vithi, 15 days of the end of cacti <br />Qvacccc 1 - Janvscy._-) Nacch • <br />Q1acccc 1 - April --> Junc <br />Quacccc J - July --> Scptcmhc:r <br />Queerer 4 - October --> December <br />Send to: e <br />SAN JOAQUIN LOCAL.- HEALTH D IS'1'K 1C•C <br />1601 1:.. Harr I t <�ii , t' , 0 . 11ox 2009 <br />Stockton, CA 95201 466-67b1 <br />T t- O 1 O / 116 <br />