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INVENTORY RECONCILIATION JUL ? 1989 - <br /> QUARTERLY SUMMARY REPORT FORMENViRON;ti7ENTA1 HEALTH <br /> PERMIT/SERViCF.S <br /> Facility Name: Morton Paint Company Tank / <br /> Size Product <br /> Facility Address: 38 W. Sonora Street u <br /> -Sockton . CA 95203 <br /> Telephone : ( 209 )466-4541 <br /> Person F 1 ng <br /> Report 1CJ, ��Qlr,n, a <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 /> vas not due to an unauthorized (leak) release. (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 i Amount <br /> 3. <br /> 4. <br /> 5. <br /> Additiooal dates/amounts shall be continued oo a separate sheet of <br /> paper and attached. <br /> If the source of the variation which. etceeded allowable limits was dun: 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 submitted within 15 days of the end of each <br /> quarter. <br /> Quarter i - January --) March <br /> Quarter 2 - April --> June <br /> Quarter 3 - July --> Scptcmher <br /> Quarter 4 - October --> Dcccmbcr <br /> Send co: SAN JOAQUIN LOCAL HEALTH DISTKICI' <br /> 1601 E . l:a c 1 i ui , P . 0 . liox 2009 <br /> 40 10/ 86 Stockton , (:A 9S201 466 -6761 <br />