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I wnn <br /> t..lj <br /> INVENTORY RECONCILIATION <br /> i <br /> QUARTERLY SUMMARY REPORT FORM JUL 5 1989 <br /> Facility Name: `'an Joaquin Lumber Co. Tank I livsii6ME IA1HftNwct <br /> 1 1 <br /> Facility Address: 235 W. Scotts Ave. 2 5-0-(T— iese <br /> Stockton. Ca. - - - <br /> Telephone : 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 Column 13 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 I Amount <br /> 1. <br /> 2. <br /> 3. <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 /> a leak the incident shall be reported to S .J .L.H . D. Environmental Ilea lth <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 cacti <br /> quarter. <br /> Quarter I - January --) March <br /> Quarter 2 - April --) June <br /> Quarter 3 - July --) September <br /> Quarter 4 - October --) December <br /> Send to: SAN JOAQUIN LOCAL HEAL7'li DISTRICT <br /> 1601 E. Hazelton , P .O . Box 2007 <br /> Stockton , CA 75201 466-67b1 <br /> UGT 40 10/86 <br />