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3 <br />E I", <br />If <br />tHY€rrraar aEcoKctLtArtan <br />APR 1IF"l, <br />QUARTERLY SUnl1ARY REPORT Fawn ENVIRONMENTALHEALTi <br />PERMIT/SERVICES <br />Faculty xamwe: -?.-/ r ion 1;7 4-6- <br />�;ciLitr <br />'Cask / Site Product <br />y <br />2TI./ CA- °> t'ac't/ <br />Telephone: , - 2 K' 7 <br />Person Filing <br />L btrcby eectify under penalty of perjury that all inventory variations for <br />th,c a6ove ucattioatd faciiity were vichin the ailovable liwits for Chia <br />qusrcec. (No is Coluan 13of the lavencocy Reconciliation St►eet) <br />QLavenCacy variatioaa exceeded the allowable limits for Chia quarter- I <br />bcceby certify wader penalty of perjury chat the source for the Wariacioa <br />was 424C due to an uaauehoriced (leak) celesae- (Yes in Column 13 of the- <br />LtavegCory Reconciliation Sheet) <br />List date, taak i, and aa.ount for sll wariaCioda Chat exceeded the <br />ailovable listics. <br />Dace rank I AnaouaC <br />AsldsCaonal d3{C+ia�Q�a<7C9 chail br Can{tn•ir.d as a acpar�ic rheCC Uf <br />PAP -cc and aC(ached. <br />Cf Chc source of Clic virta(ton -both r.r.•rdeli llhwahlr kfmkr1 Uas "u" Co <br />* icAk Chc tnctdcn( shall be rrr.)rcc•a Io 1, J j }j 1) Envtronv.rn(al iir3lCl� <br />WLrhtn 14. hobrt an.l an uns,.(hn•,rrJ c.-Ir,�t.• rrt,nrc tubntCCrO. <br />n1c q-arCCrlr auaaJr1f rr(10rC th,l1 6r a.. h..t ((cJ vi(h n 4j 6arc of Chr Cn,i +� [•.�ti, <br />q" A r( r r- <br />S -end co: <br />1.0 10/tio <br />(+-+ar(cr l <br />January --> Mnrcl, <br />Q•+ar(er 1 <br />- AprI <br />Quarter ) <br />- Juiy --) ]c {*Cc•a•.•r <br />Q►jartCr <br />- October --> M,Cr-+1•cr <br />SAN JOAQU 1 N LOGA1, HEALTI; t)1 %'1 K i i:•1` <br />1601x. F.. 1' -U h x /009 <br />Nt ock cnin , CA' -'1510 1 466 - 61b 1 <br />e > f <br />