Laserfiche WebLink
n1wvG1yr. 1i <br /> MAY 2 0 1989 <br /> IHYEMTORT RECONCILIATION '•.;yr:, •;,\ ;,,-E��TA', HEA,(,TH <br /> QUARTERLY SUMMARY RFPORT FORM <br /> Facility Name: Horton 'c ('a M r Tank f <br /> Size Product <br /> Faeilijy;Addreas: 13475 N. Jacktone Rd. 6.000 U/L Premium <br /> 715 10,000. U/L Regular <br /> E, Lodi, CA 95240 731 <br /> Telephone : x209) 368-7465 12 000 Reular <br /> Person Filing <br /> Report Joe Sanzo <br /> E] I hereby certify under penalty of perjury that all inventory variations for <br /> the above mentioned facility were within the allowable limits for this <br /> quarter. (No in Column 13 of the Inventory Reconciliation Sheet) <br /> © Inventory variations exceeded the allowable limits for this quarter. I <br /> hereby certify under penalty of perjury that the source for the variation <br /> Swaa.s, not due to an unauthorized (leak) release. <br /> YX��SlPXLYkfi747:b7� (Based on daily measurement error only.) <br /> List date. tank f, and amount for all variations that exceeded the <br /> allowable limits. <br /> Date Tank f Amount <br /> 1- SEE ATTACHED INVENTORY CONTRnT. CAFFTS <br /> 2- ASTERISKS DENOTE VARTATIONs F.xcFrnTN� ALLOWABLE LIMITS. <br /> 3. <br /> 4. <br /> 5. <br /> Additional dates/amounts shall be continued on a separate sheet of <br /> paper and attached. <br /> Ef the source of the variation uhich. exceeded al'lowabLe limits was duc to <br /> a leak the incident shall be reported to S .J .L.H . D. Environmental health <br /> within 24 hours and an unauthorized release report submitted. <br /> The Quarterly summary report shall be submitted within 15 days of the end of each <br /> quarter. <br /> Quarter I - January --> March <br /> Quarter 2 - April --> Junc <br /> Quarter 7 - July --> Scptemhcr <br /> Quarter 4 - October --) 0kccmber <br /> Scnd co: SAN JOAQUIN LOCAL HEALTE D1S'1'R1C'I' <br /> L60L F. Ha7,CILoll , P .O . Rom 2()()9 <br /> UCT 40 10/86 Stockton , CA 95201 460 -6781 <br />