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INVENTORY RECONCILIATI(.._ <br /> QUARTERLY SUMMARY REPORT FORM <br /> Facility, Name: Horton's Cas Marr _ Tank t 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 /> Reporc 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 /> was not due to ac unauthorized (leak) releise. 7Fg74TlXPd27 {4fkXR�SR <br /> �`L'[}113`L$fi1t7474}� (Based on daily measurement error only.) <br /> List date, tack f, and amount for all variations that exceeded the <br /> allowable limits. <br /> Date Tank f Amount <br /> SEE ATTACHED INVENTORY CONTRQT. R"FF S <br /> ASTERISKS DENOTE VARTATIQNS EXCEEDTuG ALLOWABLE LIMITS. <br /> 1 U L 1 8 1988 <br /> ENVIROMENTAL HEALTHH <br /> FERMIT/SERVICES S <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 al-lowabLe limits was due 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 Kubmitted within 15 days of the end of each <br /> Quarter. <br /> Quarter I - January --) March <br /> Q,iartcr 2 - April --> June <br /> Quarter 3 - July --) Scpccmhcr <br /> Quarter 4 - October --> December --- <br /> Send co: SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. HaZeIL(u7 , P .O . Hox 2007 <br /> SLOCkron . CA 95201 466 -6761 <br /> LILT 40 LQ/86 <br />