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10-10-88 <br />INVENTORY RECONCILIATION <br />QUARTERLY SUMMARY REPORT FORM <br />Facility Na,; D S S Company <br />Fact Iity;Address; 639 W. Ctau St. <br />Soc an Ca. YbZU6 <br />Telephone: 209-94k-0 3n2 <br />Person Filing <br />Report 73aud Gnove�s <br />------------ <br />XQ I hereby certify under penalty of perjury that all inventory variations for <br />the above oentioned facility were within the allowable limits for this <br />quarter. (No in Galina 13 of ehe Laventory Reconciliation Sheet) <br />El <br />Inventory variations exceeded the allowable limits for thia quarter. <br />hereby certify under penalty of perjury that the source for the variation <br />wa■ not due to an unauthorized (leak) release. (Yes is Column 13 of the <br />Inventory Reconciliation Sheet) <br />List date, tank f, and amount for all variations that exceeded the <br />allowable limits. <br />Date Tank I Amount <br />3. 0C.! ; 198.. <br />4.7` <br />S. I'Ct�;1'i;Yt <br />Additioaal dates/a-ouots shall be continued on a separate sheet of <br />Paper and attzched. <br />LE the source of the variation which. exceeded allowable limits was due to <br />a leak the incident shall be reported to S,1,L.N,D. Environmental Healthwithin 24 hours and an unauthorized release report submitted. <br />The quarterly summary report shall be nubmittc <br />quarter. d within IS days of the end of each <br />Quarter 1 - January :-) March <br />Quarter z - April --) June <br />Quarter 3 - July --> Septemb(.r <br />Quarter 4 - October --) DA:Ccmber <br />Send to; SAN JOAQUIN LOCAL NEALTIi D1S'I'Ii1CT <br />160L E. Ilaze I on , P.O. Ilam JOOg <br />40 10/86Stockton, CA 95201 466-67b1 <br />:�. <br />