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• (J ��• <br /> INVENTORY RECONCILIATION <br /> QUARTERLY SUMMARY REPORT FORM ENVIRONMENTAL HL AL.T{ , <br /> Faeilsty Name: Morton Paint Company Tank f size <br /> Product <br /> Faeility4ddress: 38 W. Sonora Street o00 uNLEad <br /> - ODU Wo <br /> � o kton . CA 95203 <br /> Telephone : ( 209 )466-4541 <br /> Person <br /> Report , ,��-�D, j7P�iNte u . a <br /> 1 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 I3 of the Inventory Reconciliation Sheet) <br /> Inventory variations exceeded the allowable limits for thin quarter. I <br /> hereby certify under penalty of perjury that the source for the variation <br /> vas not due to an unauthorized (leak) releise. (Yes in Column 13 of the <br /> Inventory Reconciliation Sheet) <br /> List date, tank i, and amount for all variations that exceeded the <br /> allowable limits. <br /> Date Tank f Amount <br /> 1• /d-/- !/0 02 O <br /> 90 �' o <br /> 3. <br /> 4. <br /> s. <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 Health <br /> within 24 hours and an unauthorized release report submitted. <br /> The quarterly summary report shall be Rubmitted within 15 days of the end of each <br /> quarter. <br /> Quarter I - January --) March <br /> Quarter 2 - April --> June <br /> Quarter 3 - July --) September <br /> Quarter 4 - October --) (ktecmber <br /> Send co: SAN JOAQUIN LOCAL HEAL1'll DISTRICT <br /> 1601 E . H�r.cl , ++n , I' .0 . Iiox 2O()9 <br /> 40 10/ HG Stockton . CA '15201 466 -6761 <br /> UC. <br />