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INVENTORY RECONCILIATION <br /> QUARTERLY SUMMARY REPORT FORM LWpONIN ASR 4 1989 <br /> s L,�'i�A�TH <br /> Facility Names _San Joaquin Lumber Co. Yank I Size Product <br /> as <br /> Facility Addresst 235 W. Scotts Ave. 2 5000 Diesel <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 Column 1]of the inventory Reconciliation Sheet) <br /> ❑ 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 not due to an unauthorized (leak) releise. (Yes in Column Il of the <br /> Inventory Reconciliation Sheet) <br /> List date, tank fr and amount for all variations that exceeded the <br /> allowable limits. <br /> Date Tank I Amount <br /> p 1. <br /> 2. <br /> 1. <br /> 4. <br /> 5. <br /> Additional dates/amouots shall be continued on a separate sheet of <br /> paper and attached. <br /> If the source of the variation which. exceeded 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 /> Qusrter 4 - October --) December <br /> Send to: SAN JOAQUIN 1,0CA1. HEAL7'll 01STR1CT <br /> 1601 E. Hazelton . P .O. ROM 2009 <br /> Stockton . CA 95201 466-6761 <br /> UGT 40 I0/86 <br />