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'"INiORY RFCONCIt. 1A1lOt( <br /> QOARI•FR1Y SUMMARY RF-PORI FORM <br /> F■cility Name: <br /> Emil's f_igdors & 'pTank /ort Shp T <br /> 'Facility Address: Escalv;l, I Ornia Site <br /> 95320 / 5 ti Product <br /> Telephone : 006 <br /> Person F111 S y <br /> Report <br /> [ hereby cerci( <br /> the above y under penalty of perjury that all inventory <br /> ■K netoned facility were within the .flow ble ( ' <br /> quarccr. (No it variations for <br /> t° Colu® IJ of the In vcotory toil■ for this <br /> Reconciliation Sheet) <br /> ❑ Inventory v■ciatioa■ <br /> heceb exceeded the allovable limit■ <br /> y certify under peoalty of for <br /> this <br /> vas not due to am unauthorised perjury that the source for the variation <br /> quarter. I <br /> [nvc°tory Reco Ocak) release. <br /> °: i4cion Sheec) (Yes 1n Coles+ 13 of he <br /> ILOC <br /> ■llovdate. <br /> tank 11 and amount for all variations that <br /> ■ble limit■. <br /> exceeded the <br /> Dace <br /> Tank / �(s�• f1M iC� 0 <br /> I. Aosou°C D ICE 1"l'JI <br /> ENVIROMENTAL HEALTH <br /> �— FERMIT/SERVICES <br /> M diCiooa <br /> { --- <br /> ,a ca/amoube conCiaucd o° <br /> P<r and a,(a °Cn 'hall chcd. a <br /> epara ce .heel of <br /> if tht source of <br /> I<'4 the arlat wn .,h,ch <br /> dhc<cccdc <br /> tl.c (ncicnt sall b d allow ble lim ' <br /> within 16 c rcpnrtrJ as <br /> , Cs v <br /> hour: tc as . <br /> `iJ . 1. . l1 Environmental <br /> due eo <br /> and nr <br /> an unaChnr, tr.d r t) . <br /> 11,c w ar[c r( l <br /> c report submitted. Ilea lch <br /> �u�rt � Y :ua.>ary rc �r <br /> M t shall be ""bmlttcd viUun 15 da <br /> �*'artrr I ys of the end of curb <br /> January <br /> s„1y ) <br /> U,a rtr.r $c P(rm111.r <br /> Send to; <br /> 5,17 .IOAQU t tv I.(1CA1. HEAI.TII I11 STh I C'I <br /> Itox 20(1') <br /> 1(1 10/8q Stockton . CA t/5201 466 - ' <br /> Glbl <br />