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INYENTORY RECONCILIATION <br /> QUARTERLY SUMMARY REPORT FORM <br /> raciLity Naae1 DELICATO VINEYARDS Tam" St[e Product <br /> 1 10 000 ILeaded Gas <br /> raciltty Addraast 12001 So. Highway 99 2 10,000 Un eaded Gas <br /> Manteca, California 95336 •}0,000 Diesel <br /> Telephoner (209) 982-0679 **AND M OTHERS** <br /> Person Filing Richard Larson <br /> Report Chief Accountant <br /> QL 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 is Colum 13of the Inventory Reconciliation Sheet) <br /> C] Inventory variations exceeded the allowable limits for this quarter. L <br /> hereby certify Audcc penalty of perjury that the source for the variation <br /> was not due to an unauthociced (leak) release. (Yes in Column 13 of the <br /> Inventory Reconciliation Sheet) 1 1 <br /> List date, tank /, and amount for all variations that exceeded the <br /> allowable lia.its. <br /> Date Tack 1 Amount <br /> I. <br /> 2. <br /> 3. <br /> 4. <br /> 5. _ <br /> Additiooal dates/amouocs shall be conCioued oa A aeparatt sheet of <br /> paper and a((ached. <br /> It the source of (be vAria( jo. ahicl, c.c.•cded al Wu Able limits vas due to <br /> leak Chc incidcn( shall be rcpu( (cJ to <br /> S .J . 1..H . D . Environmental Ilcalth <br /> within 24 hours and ao unauthoritr.A rcicasc report submi((ed. <br /> 111e Quarterly a,.a_ary report shall h< a.,bmittcd within 15 days of the end of mels <br /> Quar(r:r . <br /> Quarter 1 - Jaaa.ry __) Narch <br /> Q'iartcr. 2 - April --) Jana , --._ <br /> r Quar(cr 1 - J..ly --) ScpCcmh,:r. �? � <br /> - Q•.•rter - October --> 11<c.•mher <br /> Send to: SAN JOAQUIN LO(:AI. HEA1.11i UIS'1'HIC'f <br /> 1601 E . Haze I1 rnl . " -0 It".'< 70(1'1 <br /> Stockton , CA 95701 466-67bl <br /> OCT 1.0 10/H6 <br />