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INVENTORY RECONCILIATION <br /> 2QUUARTERL^ Q <br /> QUARTERLYSUMMARYREPORT FOR14 <br /> Facility Names � .7\' _ y)' `os , a\1e ,�1 Tank I_ Size pro <br /> -_du��ct <br /> Facility Addreses � �'Z N <br /> L-6, 3 <br /> Telephone : _ qLl3- -;IV% <br /> Person Fill.1111 <br /> Re �0ti� �QwNcl- , <br /> I hereby certify under penalty of perjury that all inventory variations for <br /> Zthe above mentioned facility were within the allowable limits for this <br /> quarter. (No in Column 17of the Inventory Reconciliation Sheet) <br /> F] Inventory variations exceeded the allowable limits for thin quarter. I <br /> hereby certify under penalty of perjury that the source for tale variation <br /> was not due to an unauthorized (leek) release. (Yea in Column IJ of the <br /> Inventory Reconciliation sheet) <br /> i.ist date, tank 1, and amount for all variations that exceeded the <br /> allowable limits. <br /> Date Tank / Amount <br /> I. <br /> 2. <br /> 3. <br /> 4. <br /> 5. <br /> Additional dates/amounts shall be continued on a separate kilect of <br /> paper and attached. <br /> If the source of the variation which exceeded allowable limits vns due to <br /> a leak the Incident shall be reported to S ,3 ,1„11 , 1), Environmental lleatth <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 /> Qiarter I - January --> March <br /> Qiarter 2 - April --> .June <br /> Quarter J - July --> September <br /> \Qiar_ter 4- - October --> Drcemher <br /> Send to! SAN JOAQUIN LOCAL IIEA1 111 U1S'1'It1C'1' YpEavX0 <br /> 1601. E . 11aze )con , P .O . BOX Zoon FEB 221989 <br /> Stockton , CA 95201. 466-6781 ENVIRONMENTAL HEALTH <br /> 1161• 40 10/86 PERMIT/SERVICES <br />