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YPSM0 <br /> ~ INVENTORY RECONCILIATION" APR 17 1989 <br /> QUARTERLY SUMMARY REPORT FORM <br /> ENV;R? NMFNTAL HEALTH <br /> Facility Name: Horton's [Cas Marr Tank I Size Product <br /> 6,000 U/L Premium <br /> Facility-Address: 13475 N. Jacktone Rd. 715 10,000. U/L Regular <br /> E. Lodi, CA 95240 731 12,000 Re ular <br /> Telephone : (209) 368-7465 <br /> Person Filing <br /> Report Joe Sanzo <br /> 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 /> QInventory variations exceeded the allowable limits for this quarter. I <br /> hereby certify under penalty of perjury that the source for the variation <br /> was not due to an unauthorized (leak) releise. fX1eXXiAX9R:kl x kxK1AK <br /> `LSF}E}5X}baxtXA %aYt4F1�:i7474Xki7tSC143� (Based on daily measurement error only.) <br /> List date. tank 1, and amount for 211 variations that exceeded the <br /> allowable limits. <br /> Date Tank / Amount <br /> 1. SEE ATTACHED INVENTORY CONTROT, SHFFTS <br /> 2. ASTERISKS DENOTE VARIATIONS FXCFFnTNG ALLOWABLE LIMITS. <br /> 3. <br /> 4. <br /> 5. <br /> Additional dates/amouacs shall be continued on a separate sheet of <br /> paper and attached. <br /> If the source of the variation uhich. exceeded allowable limits was due to <br /> a leak the incident shall be reported to S .J .L.H . D . EavironmcntaL 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 --> June <br /> Quarter 3 - July --> September <br /> Quarter 4 - October --> December <br /> send co: SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. HaZOILlnl , P .O . Box 2009 <br /> Stockton , CA 95201 466 -67bL <br /> UGT 40 10/86 <br />