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INVENTORY RECONCILIATION <br /> QUARTERLY SUMMARY REPORT FORM <br /> Facility name: D . N . WINN TRUCKING , INC . Tank I Size Product <br /> �, 1���%-�,� ,sir= :,�• <br /> pacility4ddrese: 19555 North Tully Road �E <br /> P . 0 . BOX 24 --LockQfor <br /> f <br /> Telephone : 209-727-5531 <br /> Person Filing <br /> Report e <br /> A <br /> L her-c certify under enatt of perjury that all inventory variations for <br /> y P l' ] Y rY <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) rel"se. (Yes in Column 13 of the <br /> laventory Reconciliation Sheet) <br /> List date, tack f, and amount for 211 variations that exceeded the <br /> allowable Limits. <br /> Date Tank f Amount <br /> 1. <br /> 3. <br /> 4. <br /> 5. <br /> Aldditional dates/amounts shall be continued on a separate sheet of <br /> paper and attached. <br /> If the source of the variation which. etceeded al-lovabie limits was dui: to <br /> a leak the incident shall be reported to S .J ,L. H . D . Environmenta l Uca l c h <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 tach <br /> quarcer. <br /> Quarter I - January Harch <br /> giarter z - April --> June <br /> carter J_? - July --> September <br /> Quarter 4 - Octobcr -> Recember <br /> Send co: SAN JOAQUIN LOCAL 1IEAl.TH DISTRICT' <br /> 1601 E . Haze 1 t (W , P . O . Box 2009 <br /> Stockton . CA 95201 466 -67h1 <br /> LkT 40 10/ 86 <br />