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C���� <br /> D <br /> INVENTORY RECONCILIATION <br /> 4, QUARTERLY SUMMARY REPORT FORM <br /> N� �r�rra�e: CONTI TRUCKING INC. Tank 0 Site <br /> CoProdueC <br /> ]Facility Address: 2660 LOOMIS Rb STKN 9-5205 � 1 <br /> 00 <br /> MUM— <br /> Telephone : 209 948-5901 <br /> Person Filing <br /> Report DON GOODRICH <br /> I hereby certify under penalty of perjury that all inventory variations for <br /> the above mentioned facility were vithin the allowable limits for this <br /> quarter. (No in Colinas 130f the Inventory Reconciliation Sheet) <br /> El1nvent0Cy Variations exceeded the allowable limits for this quarter. I <br /> hereby certify under pe©alty of perjury that the source for the variation <br /> was not dace CO an unauthorized (leak) release. (Yes in Column J3 of the <br /> Inventory Reconciliation. Sheet) ` <br /> Dist date, tank 0, and amount for all variations that exceeded the <br /> allowable limits. <br /> Date Tame 0 Amount '�-X% <br /> 2. _ - J U L 1992 <br /> 3. LNVIR0IINNIEty iA+. HEALfl-; <br /> 4. - - - E??M1 T i Sfi'HV!(; <br /> S. <br /> Additional dates/amoucts shall be continued ou a separate sheet of <br /> paper and attached. <br /> If the source of Che variation which exceeded allowable limits was due to <br /> leak the incident shall be reported to S .J _L. H . D . Environmental Health <br /> wLthin 24 hours and an unauchorized release report submitted. <br /> The quarterly summ.sry report shall be submitted vithin 15 days of the end of each <br /> quarter. <br /> QQQuu+ aayrteer - - January M-irc <br /> h <br /> rtrter April Ju.+c JuEy <br /> --} Scptcmhi-r <br /> Quarter 4 - October --> f?�cvmbcr <br /> send co. SAN J0AQUIN LOCAL HEALTH DIS-1'X1CT <br /> 1601 F— H 7e 1 t (in . N .0 . B x 2()(l'J <br /> SLockton . CA 95201 466-6751 <br /> UG1, 40 10/ 86 <br />