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INVENTORY RECONCILIATION JAN 8 <br /> QUARTERLY SUMMARY REPORT FORM ENV1R0NM[-N7A1,, H E-PL.T H <br /> PERMIT <br /> Facitity Name: D . H . W I N N TRUCKING , INC . Tank I Size Product <br /> F&Ci1i.tY,Address: 19555 North Tu11y Road <br /> P . Q . BOX 24 . 1o(-kQ <br /> Telephone : 209-727-5531 9 <br /> Person Filing <br /> Report <br /> I hereby 1`c' rtifYutenG <br /> Ype2ity of perjury that all inventory variations for <br /> Che above mentioned facility were within the allowable limits for this <br /> quarter. (No in Column 13 of the inventory Reconciliation Sheet) <br /> E] 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 CoLumn13 of the <br /> Inventory Reconciliation Sheet) <br /> List date, tank 1, and amount for all variations that exceeded the <br /> allowable Litnits. <br /> • <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 aheet of <br /> paper and attached. <br /> If the source of the variation which. exceeded allowable limits was due to <br /> a Leak the incident shall be reported to S .J . L. H . D . 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 /> quarter. <br /> Quarter I - January !larch <br /> Qjartcr 2 - April June <br /> Quarter 3 July tiCoremh(!r <br /> October Dc-cvmber <br /> Send to: SAN JOAQUIN 1.0CA1, HEA1,T)i DISTRICT <br /> 1601 E' . Hazell (in , P . O . BOx 2009 <br /> SLockton . CA 95201 460 -6781 <br /> !IGT 40 10/ 86 <br />