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APR 2 -- <br /> INVENTORY RECONCILIATION <br /> ENVIROMIMN7AL HEALTH <br /> QUARTERLY SUMMARY REPORT FORM FERIAIT/SERVICES <br /> Facility Nasse: Morton Paint Company Tank i Site Product <br /> Joeg C <br /> FaciLity-Address: 38 W. Sonora Street S <br /> _Stockton , CA 95203 <br /> Telephone : _( 209 )466-4541 <br /> Peon Fi <br /> Report ort <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 /> QInventory 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) release. (Yes in Column 13 of the <br /> Inventory Reconciliation Sheet) <br /> List date, tank 1, and amount for all variations that exceeded the <br /> allowable lietits. <br /> Date Tank f Amount <br /> 1- <br /> 2- <br /> 3. <br /> 4_ <br /> 5. <br /> Additional dates/amounts shall be continued on a separate sheet of <br /> ,paper and attached- <br /> If the source of the variation vhich. erceeded allowable limits was due to <br /> a leak the incident shall be reported to S .J . L. H . D . Environmental lira 1 th <br /> within 24 hours and an unauthorized release report submitted. <br /> The quarterly summary report shall be fiubmitted within 15 days of the end of each <br /> quarter. <br /> Quarter E - January --) March <br /> Quarter 2 - April --> June <br /> Quarter 3 - July --> Septcmh(-r <br /> Quarter 4 - October --> DLcember <br /> Send co: SAN JOAQUIN 1,0CAL HEALTH DISTRICT <br /> 160 1 E . Haze 1 t c1l, , P . 0 . M)x 2009 <br /> Stockton . CA 95201 460 -67bl <br /> 1JG'T 40 10/ 86 <br />