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iNYENTORY RECONCILIATiam <br />QUARTERLY SUKKARY REPORT FORK <br />rah i uCr ffsase: i,lov Sf c # N 0 7 <br />lacf ilty Addcaaac �� C�.p.� �� ��p <br />Telephone: 3 - /2 Z5_ -- <br />Person Filing , <br />Repo>;L I�AYIlyyt6 /S ) <br />JAN 51x30 <br />ENVIRONMENTAL HEAL�I-I- <br />EN RNIIIiSE-11—JiCES <br />Tank / St[e <br />product <br />/rC"r, <br />L heccbr ecceify Mader pecalty of perjury that all inventory variations for <br />the above meaeiaoed facility ..ere within Che allowable limits for this <br />quarter. (No im Column Ilof the Inventory Reconciliation Sheet) <br />Emwencacr, vaciataoaa ezceeded the allovablc Limits for Chia quarter- I <br />hereby certify under peaalty of perjury that Che cour'ce for Che dariatioa <br />'ran aoC due to as uaauChoriced (leak) relcaae. (Yeain Cal(ae.e t] of the <br />laveacory Recoocilistion Shccc) � ' <br />List date. tank f, and &amount foe all variations Chat exceeded the <br />allowable limics. <br />Da Ce Taak ( /uoovaC <br />1. <br />z. <br />4. <br />9P <br />"dLCloaal d$CCZ/ia.ouaKX shAtI be_ COncLaurd oa • *cparjcc ■hee( of <br />pxrcr ind accachcd. <br />ff Chr Source of Chc varti(tun -4140+ ,r.•�isrd %lu�ah[c ltwk"In <br />lcak. Chf tnCtdcn( shall be trl,+rr(r,r (n J I kl 1] EnvtC0+UrW'n(31 Ilralth <br />"'Chin i4 hours and an unait(ho-ired I+ le.�t: r�t,r,rr suboa((r+i. <br />I11 C q u i r C C r l y c u m.al r y r r"C ( Shat{ tie • .. (>+. t ((i zt v+ (h + n d) d a y s a t C h r e n J <br />1;-ar(r r <br />QkAA CC Cr I - Janu.ry <br />i}tsarcer 4 - QCCober --) Dl -C mslicr <br />Tend co: SAN JOAQU IN UWAi. HEA1.1.14 1] I NTK ICT <br />1601x- K. Haxrlt 1' .0 R4 In llli3'1 <br />%Lockcon.'A- 9510I 1.66-67bI <br />:1' (.o i n / H r: <br />"u v <br />lt! A:r <br />+fir. _ -- •-ir <br />