Laserfiche WebLink
INVENTORY RECONCILIATION APR 71989 <br /> QUARTERLY SUMMARY REPORT FORK ENr;Ror ^"E> FLHE/>iiN <br /> pERMII 1 SERVICES <br /> facility Names 0ARNFr_1F SVRA Tank I Stse. Product <br /> 1000 GAL UNLEAD <br /> fscility,Address: _78600 CORRAL HOLLOW RD 2 1000-GAL. D <br /> TRACY CA 95378 01105 <br /> 'telephone: 415 455 5918 <br /> Person Filing <br /> Report NORM FnSTF.R <br /> 1 hereby certify under penalty of perjury that all inventory variations for <br /> the above mcutioned facility sere within the allowable Limits for this <br /> quarter. (No in Column 13 of the Inventory Reconciliation Sheet) <br /> ® Inventory variations exceeded the allowable limits foeh n <br /> t i quarter. i <br /> hereby certify under penalty of perjury that the source for the variation <br /> via not due to am unauthorised (leak) release. (yes in Column 13 of the <br /> Inventory Reconciliation Sheet) <br /> i <br /> List date, tank Q, and amount for sll variations that exceeded the <br /> allowable limita. <br /> D_te Tank p Amount <br /> 1. <br /> z. e <br /> 3. <br /> 4. <br /> 5. <br /> Additional dates/amoumts shall be continued on a separate sheet of <br /> paper and attached. <br /> It the source of the variation which. exceeded allowable limits was due to <br /> a leak the incident shall be reported to J•, ••},,H•p• Environmental Ncalth <br /> within 24 hours and an unauthoriacd release report ■ubmiteed. <br /> The Quarterly summary report shall be submitted within 15 days of the and of each <br /> quarter. • i <br /> Quarter B - January --) March <br /> er Z _ April --> June <br /> Quarter 3 - July --) ,September <br /> Quarter 4 - October --) 'December <br /> Send to: SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. liazelliun , P.O . Box 2009 <br /> Stockton . CA 95201 466-6761 1 <br /> T 40 10/86 <br />