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- ------ - - -- <br /> INVENTORY RECONCILIATION <br /> QUARTERLY SUMMARY REPORT FORM <br /> Facility Name: Morton Paint Company rank I <br /> Size Product <br /> Fseility,Address: 38 W. Sonora Street ©oc ua`ra,d C- <C75 <br /> i0 (JG un[rk� GcS <br /> Stockton . CA 95203 <br /> Telephone : ( 209 )466-4541 <br /> Person Filing,//� <br /> Report I([ <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 i, and amount for all variations that exceeded the <br /> allowable limits. <br /> Date Tank I Amount <br /> 2. ILI- <br /> 3. APR 1988 <br /> 4. <br /> 5. SAN JOAQUIN COUNTY <br /> AIR POLLUTION i'(PvTDN n: <br /> Additional dates/amounts shall be continued on a separate sheet of <br /> paper and aCcached. <br /> If the source of the variation which exceeded allowable limits was due to <br /> A leak the incident shall be reported to <br /> within 24 hours and an unauthorized release report sDubmictedo ntal Health <br /> The quarterly summary report shall be submitted within IS days of the end of each <br /> quarter. <br /> cr ! January --) March <br /> Qi - April --> June <br /> Q'artcr 2 - July --> September <br /> Quarter 4 - October --) Ikcember <br /> Send ca: SAN JOAQLJIN LOCAL HEALTH DISTRICT <br /> 160 1 L . l:ar,c 1 I nn , 1' . 0 . Box 2009 <br /> IGT 40 10/ 86 Stockton , CA 95201 466 -6761 <br />