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li <br /> \r <br /> INVENTORY RECONCILIATION � � �� IV <br /> QUARTERLY SUMMARY REPORT FORM JAN 41989 <br /> ENVQGrdi, 11Al HI AUH <br /> Facility Nmea CeuNFr, Svun Lank p tie. Prod <br /> uet <br /> ' 1000 GAL UNLEAll <br /> Fdcility,Addeeut 18600 CORRAL HUM a 2 " 1000.G L. DI <br /> ' '_TRACY CA 95378 01105 <br /> Telephone: 415 455 5918 <br /> Person Filing r <br /> Report NORM FOSTER <br /> © x hereby certify under penalty of perjury tilat all 'inventory variations for <br /> the above mentioned facility were within the allowable limits for this <br /> quarter. (He in Column 13 of the Inventory Reconciliation Sheet) <br /> II <br /> xaventory variations exceeded the aLlcvable Limits for thin quarter. - I <br /> hereby certify under penalty of perjury that the source for the variation <br /> Was not duet* An unauthorized (leak) release. (Yes in Column 13 of the <br /> Inventory Reconciliation Sheet) <br /> List date. tank 0, and amount for all variations that exceeded the f <br /> allowable limits. ' <br /> Date _Tank ! Amount <br /> 1. !� <br /> 2. i <br /> 3. <br /> 4. _ <br /> Additional dates/amouots shall be continued on a separate sheet of <br /> paper and attached. <br /> If the source of the variation which- exceeded allowable Limits was due to <br /> a leak the incident shall be reported to S.J .7L.H.D. Environmental Health <br /> Within 24 houru and an unauthorized release report submitted. <br /> The quarterly summary report shall be submitted within 15 days of the and of each <br /> quarter. • , <br /> Quar[er 1 - Jauu�ry --) March <br /> Quarter 2 - April --) June <br /> Quarter ) - July --) ,September <br /> Quarter 4 - October <br /> Send to: SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E . ltazcltnn , P .O . Box 2009 <br /> Stockton . CA 95201 466-6761 1 <br /> T 40 10/86 <br />