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INVENTORY RECONCILIATION <br /> QUARTERLY SUMMARY REPORT FORM OCT 5 1987 <br /> Facility Name: Ca- CeAf, '�OcLe)&5!1 Tank rigt <br /> fs e <br /> FxcflityzAddress: <br /> Telephone : 2= Og - 2,2 7.3-1-130 <br /> Person Filing <br /> Report S7`ev 6'-'u9! <br /> CJ <br /> I hereby certify under penalty of perjury that all inventory variations for <br /> the above mentioned facility vete within the allowable limits for this <br /> quarter. (No in Column 13 of the laventory Reconciliation Sheet) <br /> ElInventory variatioas exceeded the allovable' l'imits for this quarter. I <br /> hereby certify under penalty of perjury that the source for the variation <br /> oras not due to an unauthorized (leak) release. (Yes in Column 13 of the <br /> Inventory Reconciliation Sheet) <br /> List date, tank- 1, and mmount for ill variations thetexceeded the <br /> allowable limits_ <br /> este Trak f Amount <br /> 2. <br /> 3. <br /> 4. <br /> S. <br /> Additional date=/amouatr shzll. be continued on a separate sheet of <br /> paper and attached. <br /> If the source of the cxre-cded at-lovable limits was due to <br /> a leek the incident sha'11 be ri!porccd to Q .J L— H . D Environmental Ilea Ith <br /> Within Z4 hours and an unauthorized retcase report submitted. <br /> The quarterly au�ary report shall be submatcc-d %.+ichin 15 days of the end of cacti <br /> Quartcr_ <br /> Quarter I - Jaouary ---> M. reh <br /> Quarter 2 - Apri I ---> Jcjrl._ <br /> QJ-3rtet' I — J41tY r.f`rr;h.-r' <br /> Quarter 4 — {1C t.c7brr ---] (1,-'--'- r'!1" ( <br /> Send to: SAN JOAOU11N, 1,0CA11. flt-:A11-TH I' I "')TH ! C I' <br /> 1601 I: . kazc 1 t ail} I' ?rl. "M09- <br /> 5t=o kton . CA 91)201 /+06 - 0 )b1 <br /> 140 10/ 86 <br />