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11imiroRY RECONCILIA110M V <br /> QUARTERLY SUHHARY REPORT FORK <br /> JAN 2 5 1.090 <br /> raeLLLty Nasi DELICATO VINEYARDS Task size Fcoauct:+:,1EJTAL HEALTH <br /> 1 10,000 ILeaded .Ga;s1: MViCES <br /> raeillty Addceset 12001 So. Highway 99 2 10,000 jUnleaded Gas <br /> Manteca, California 95336 "10,000 Diesel <br /> Telephoner (209) 982-0679 **AND OTHERS** <br /> Person Filing <br /> Report Robert Norman <br /> QL hereby certify under penalty of perjury that all inventory vaciatioaa foc <br /> the above acatioaed facility were within the allowable limits (cc this <br /> 41uaetee. (Ko is Column, 1]of the laveatocy Reeoociliacioa Sheet) <br /> 0 Lnvestory, variations exceeded the allowable Limits for this tuactee. I <br /> beeeby certify under penalty of peciucy that the source for the variation <br /> was not due to as unauthorized (leak) celeiae. (Yea is Collard] of the <br /> 4 Laveotoey Reconciliation Sheet) 1 I <br /> List date. tank f. and uounc (cc all vaciatioaa chat exceeded the <br /> allowable lir.ite- <br /> Date Tack f Amount <br /> 2. <br /> 4. <br /> S. . <br /> "ditiooal dates/aabu^cx shall be continued oo • separate sheet of <br /> papee and attached. <br /> if the source of the variation which exceeded alluwble limits vas due to <br /> leak the incidcnt •hall be tcported to S.J .L.H.D. Enviroemental Ilcalth <br /> within 24 hours and an vnauthoti a<.1 fcicasc report awb.ittcd. <br /> ilse avacterly ruw.ur-r report shall b< .••bwitted within 1$ days of the end of earl. <br /> au.ftef. <br /> Quarter 1 - 1+nu.fY __) n.•frh <br /> Qaarter 2 - April w.44: <br /> QuaCSSf_1. _- J.IY --1 Se�.Cewhet <br /> Quarter. 1. - Octobct <br /> Send Co. SAN JOAQUIta 1.0(.W. HEALTH UISTKICT <br /> _ 1601 E. I:ara il ..n • 1' .0. ""'t 211(1'1 <br /> Stockton . (:A '/5201 466-6161 <br /> 40 10186 <br />