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low, %100 CXHIBIT 100-34 <br /> 02/21/89 <br /> INVENTORY RECONCILIATION <br /> FSPR 25 1991 QUARTERLY SUMMARY REPORT FORE( <br /> ENVIRRONMENR ICEEAUI'I <br /> BUSINESS NAME /fIC''k// 56',V DRUCr CO. PHONE X09-83S-Y�sL <br /> STREET ADDRESS y/ld I,c/DuS%,P/At wx y c 4' CA 95376 <br /> 1 2 3 4 5 <br /> Tank I.D. E <br /> Volume / do <br /> Contents L -7— <br /> I hereby certify under penalty of perjury that all inventory variations <br /> for the above mentioned business were within allowable limits for the <br /> quarter beginning J"- ,4ay 2 /99/ and ending <br /> (NO in Column 13 of the Inventory Reconciliation Sheet.) <br /> Inventory variations exceeded the allowable limits for the quarter <br /> beginning and ending <br /> 1 hereby certify under penalty of perjury that the source for the <br /> variation was not due to an unauthorized (leak) release. (YES in <br /> Column 13 of the Inventory Reconciliation Sheet.) <br /> List date, Tank t, and amount for all variations that exceeded the <br /> allowable limits: <br /> Date Tank f Amount <br /> 1. <br /> 2. <br /> 3. <br /> 4. <br /> 5. <br /> (Continue on a separate sheet of paper for additional <br /> dates/amounts) <br /> If the source of the variation which exceeded allowable limits was due to a <br /> leak, the incident shall be reported to Department of Public Health and any <br /> required regulatory agency. An Underground Storage Tank Unauthorized Release <br /> (leak)/Contamination Site Report shall be submitted to the Department of Public <br /> Health and any required regulatory agency within 5 days. This report will be <br /> documented and sent by corporate office. <br /> The Quarterly Summary Report shall be submitted within 15 days of the end of <br /> each quarter. <br /> Quarter 1 - January - March <br /> Quarter 2 - April - June <br /> Quarter 3 - July - September <br /> Quarter 4 - October - December <br /> i <br /> Signature 1 Title �i /fWs Si//�Ekd/502 <br /> Print Name Tiesas- ( F-69WRAWEL Date /0 AOQ/L /fps/ <br />