Laserfiche WebLink
\--- ------- <br /> V y� <br /> l�O63Fj. <br /> INVENTORY RECONCILIATION <br /> QUARTERLY SUMMARY REPORT FORM t SPG, <br /> Facility Name; Morton Paint Company <br /> tank i Size Product <br /> Facility Address: 38 W. Sonora Street uneEade C � - <br /> /O al <br /> Stockton . CA 95203 <br /> Telephone : ( 209 )466-4541 <br /> Person !iL6 4 \ / <br /> Report /C LY 1, <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 /> Inventory 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) releise. (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 /> D_te Tank f Amount <br /> 1. ' - <br /> 2- <br /> 3. <br /> 4. <br /> 5. <br /> Additional dates/amouacs shall be continued on a separate sheet of <br /> paper and attached. <br /> If the source of the variation which. etceeded allowable limits was due to <br /> a leak the incident shall be reported toS .J . L .H . DEnvironmental Health <br /> . <br /> Within 24 hours and an unauthorized release report submitted. <br /> The quarterly summary report shall be submitted within 15 days of C'he end of each <br /> quarter. <br /> lJanuary --) Mirth <br /> Aa cCCr April <br /> - Apr --) June <br /> Quarter 3 - July --> September <br /> Quarter 4 - October --> lkcember <br /> Send cot C SAN JOAQUIN LOCAL HEAL1'1i UIS'1'K1C'I' <br /> /l 1601 E . l:�zc l t nn , p . 0 . liOx 2()09 <br /> 4U 10/ 86 Stockton , CA 95201 466 -6761 <br /> ICi <br />