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INVENTORY RECONCILIATION <br /> QUARTERLY SUMMARY REPORT FORM JUN 17 1988 <br /> [acLLLty Mase= I ENVIROMENTAL HEALTH <br /> Is Tank . RVICES <br /> Size prod <br /> [acLLity AAdresat p - Dry uct <br /> Telephone; use ouoy <br /> Person Filin_g <br /> Report _ e�p <br /> J <br /> I hereby Certify under Penalty of Perjury that all inventory variations for <br /> the above mentioned facility were vithin the allowable limits for this <br /> quarter' (No in Colum 13 of the Loveatocy Reconciliation Sheet) <br /> ❑ Iaveatocy variations exceeded the allowable Limits for tbin quarter. t <br /> b-reby certify wader Penalty of Perjury that the source for the variatioa <br /> vas not due to as uoauthorieed (Leak) release. (Yes is Coluan 13 of the <br /> loventoey Reconciliation Sheet) ( <br /> List dace, tank /, and amnunc <br /> for all wariatioas that exceeded the <br /> allowable Limits_ <br /> Date Tank I Assou of <br /> 1. <br /> 2. --- <br /> 4. <br /> AGdiClaasl dace./amounts shall be C"Ciaucd an ■ separate sheet of <br /> P+Pcr and aC(ached . <br /> Lf (he source of the varia( ion -hich rsc•-cdcd allu..abie Limits ,as duc (n <br /> • lc4k 'Che ineiden( shall be rrpor(ed (.( <br /> W <br /> ithin 24 hours and an ana..(hor� sc4 r.. lcasc reporlt �D boi-C(odonmcn[al Ilcal ( h <br /> Invi <br /> l.e Q..arterly su�aary repo,, shall be aabmi ((ed �iChin IS day. of the end of tach <br /> q-.r(er . <br /> Quarter 1 - Jan..ary <br /> Q•1arCCr 2 - Aprsl --) J..n(• <br /> Quarter I - Jul <br /> y PCcm bet <br /> QuarCcr 4 - October <br /> h crmbcr <br /> Send co: <br /> SAN JOAQUIN 1.0CA1. IIEAI.TIi UISTKIC'1' <br /> 1601 E . Il�i(• II (ul . 1, .0 li()r 1009 <br /> 40 10/H6 SIOckton , CA 95201 460 -67b1 <br /> Ura' <br />