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1 <br /> WCEIVED <br /> INVENTORY RECONCILIATION JUL 3 1991 <br /> QUARTERLY SUMMARY REPORT FORMENVIRONMENTAL HEALTH <br /> PERMIT/SERVICESS <br /> Facility Name: D . H . WINN TRUCKING , INC . Tank # Size product <br /> 1. <br /> FacilityAddress: 19555 North Tully Road <br /> P . 0 . BOX 24 . Lnrkpfnrri <br /> Telephone : 209-727-5531 <br /> Person Filing <br /> Re ot't <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 /> was 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 /> Date Tank f Amount <br /> 1. <br /> 2. <br /> 3. 1Z <br /> 4_ <br /> 5_ <br /> Additioust dates/amounts shall be continued on a separate sheet of <br /> ,paper and attached. <br /> If the source of the variation which. cxceeded allowable Limits was due to <br /> a leak the incident shall be reported to S „j L,H - p - Environmental Health <br /> Within 24 hours and an unauthorized release report submitted_ <br /> The quarterly summary report shall be submitted within 15 days of the end of each <br /> qusrCCr_ <br /> Quarter 1 - Jaouary --) Harch <br /> tQ•�art_er 2April une _ <br /> Quarter ] - July --) Septcmher <br /> Quarter 4 - October --) ikccmber <br /> Send to: SAN JOAQUIN 1,0CAL HEALTH UlSTR TCT <br /> 160L E , 11aze 1 l (,n , P .0 . Eley 2009 <br /> Stockton , CA 9520 466-6781 <br /> .)(:1' 40 10/ 86 <br />