Laserfiche WebLink
ill- <br /> OCT 3 19,S) <br /> INVENTORY RECONCILIATION <br /> QUARTERLY SUMMARY REPORT FORM ENVIROPJUSERVICES <br /> PERMIT/SERVICES <br /> Facility Name: San Joaquin Lumber Co, Tank / Size Product <br /> 1 1000 Uas <br /> Facility Address: 235 W. SeottsAve. 00 iese <br /> Stockton, Ca. 95203 <br /> Telephone : (209) 465-5651 <br /> Person Filing <br /> Report Wm. Schneider <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 Colu® IJ of the Inventory Reconciliation Sheet) <br /> ElInventory variations exceeded the allowable limits for this quarter. I <br /> hereby certify under penalty of perjury that the source for the variation <br /> was not due to an unauthorized (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 E Amount <br /> 1. <br /> 2. <br /> ]. <br /> 4. <br /> 5. <br /> Additional dates/amounts shall be continued on a separate sheet of <br /> paper and attached. <br /> If the source of the variation whichexceeded allowable limits was due to <br /> • leak the incident shall be reported to S .J .L.H . D . Environmental Health <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 I - January --) March <br /> Quarter 2 - April --> June <br /> Quarter 1 - July --) September <br /> Quarter 4 - October --) December <br /> Send to: SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 1.. IlazelD (m , P .O . Nox 2009 <br /> Stockton , CA 95201 466-6761 <br /> OCT 40 10/86 <br />