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y INVENTORY RECONCILIATION <br />QUARTERLY SUMMARY REPORT FORM <br />F&CLXity Hsme: D. H. WINN TRUCKING , INC. <br />Facility,'Address: 19555 North Tully__Road <br />• .. <br />P. (}. BOX 24.E or.k� <br />Telephone: 209-727-5539 <br />Person Filing'�� <br />Report <br />JAN 0 2 1992 <br />, MUNI NTAL HEALTv, <br />Drn■.. <br />Tank i Size Product <br />6"LLi i) -)/ 5r <br />r• <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 Coiuma 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) releise. (Yes in Coluam 13 of the <br />Inventory Reconciliation Sheet) <br />List date, tank i#, and amount for all variatioas that exceeded the <br />allowable limits_ <br />Date Tanis f Amount <br />i. - <br />z. <br />3. <br />4_ <br />S. <br />Additional dates/amounts shall be continued oa a separate sheet of <br />-'paper and attached. <br />If the source of the variation which. exceeded 31'lowable limits was due to <br />a leak the incident shall be reported to S „J.L.H.D. Environmental Hcalch <br />Within 24 hours and an unauthorized release report submitted. <br />The quarterly sucomary report shall be submitted within 15 days of the end of each <br />quarter. <br />Quarter I — January March <br />(darter 2 - April --> June <br />Quarter 7 - Jul --> sep[ember <br />artcr 4 - October --> •cem cr <br />Seed co, SAN JOAQUIN LOCAL HEALTH DISTRICT <br />1601 F". Haze i t c'n . 1' .0 . 13()X l()()() <br />5tocke.on. CA 95201 466-6751 <br />U(;T 1,0 L0/80 <br />