Laserfiche WebLink
1-9-91 <br />INVENTORY RECONCILIATION <br />QUARTERLY SUMMARY REPORT FORM <br />RECEI", <br />,. <br />JAN <br />ENVIRONMENTAL %IE.,",L; T <br />PERMIT/SERV CE, <br />Facility Kamc� D S S Company <br />FaciIity,Addres'st 639 W. Clay, <br />St. <br />Stockton, Ca. 95206 <br />Telephone: 948-0302 <br />Person Filing <br />Report Bovd Groves <br />I hereby certify under penalty of perjury that all inventory variations for <br />the above " ationcd facility vert within the allowable lisaits for thin <br />quarter. (Ko is Colum= D of the lnvcntory Reconciliation Sheet) <br />❑ Inventory variatioas exceeded the allowable limits for this quarter. I <br />hereby certify under penalty of perjury that the source for the variation <br />was not due to xn unauthorized (leak) releise. (Yes in Columu..t3 pf. the .. <br />Inventory Reconciliation Sheet) <br />List date, tack 1, and xs,ount tot all variations that exceeded the <br />Allowable limite. <br />Date Tank I Amount <br />Additional dates/amounts shall be continued on a separate sheet of <br />paper and attached. <br />If the source of the variation which. exceeded at -lovable limits vas due to <br />a leak the incident shall be reported to S.J.L. H. D. Environmental Ucalth <br />Within 24 hours and an unauthorized release report submitted. <br />The quarterly summary report shall be Aubmicted within 15 days of the end of each <br />quarter. <br />Quarter 1 - January.:-) Harch <br />Quarter 2 - April --> Jurrc <br />Quarter J July --> Septemh<:r <br />Quarter 4 - October --> DCcember <br />Send to: SAN JOAQUIN LOCAL' fEAL11i .l1ISTH ICT <br />1601 E. Naze I t on P.O. Box V009 <br />Stockton, CA 95201 466-67b1 <br />7' 40 10/116 <br />