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P \PR.I\G INVENTORY RECONCILIATION <br />QUARTERLY SUMMARY REPORT FORM <br />Facility Name: PDM STROCAL <br />Facility Address: 2324 NAVY DRIVE <br />-'- STOCKTON. CA 95206 <br />Telephone: 94s-4600 <br />Person Filing <br />Report - -- ROBERTA OSB R <br />1st Quarter 1988 <br />Jan - March 1988 <br />Tank : Sire Product <br />1 10,000 GA <br />9 10,000 DIESEL <br />® I 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 in Column 13of the Inventory Reconciliation Sheet) <br />F] Inventory variations exceeded the allowable limits for this Quarter. i <br />hereby certify under penalty of perjury that the source for the variation <br />was aot due to an uaauthorized (leak) release. (Yes in Column 13 of the <br />Inventory Reconciliation Sheet) <br />List date, tank /, and amount for all variations that exceeded the <br />allowable limits. <br />Date Tank I Amount <br />2. <br />3. <br />4. <br />5. <br />Additional daces/amounts shall be continued on a separate ■heet of <br />paper and attached. <br />If the source of the variation which exceeded allowable limits was due to <br />A leak the incident shall be reported to S.J.L.H.D. Environmental Healch <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 />Quarter 1 - January March <br />Q,Jar e - April --> June <br />Quarter 3 - July --> september <br />Qiiarter 4 - October --> Iktcomber <br />Send to: SAN JOAQUIN LOCAL HEALTH DISTNIC-1' <br />1601 I[, I!.tzt• 11 (n1 . I' 0 Rox 2009 <br />Stockton, CA 95201 466-61bl <br />Ur,T 40 10/80 <br />