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T <br /> INVENTORY RECONCILIATION <br /> QUARTERLY SUMMARY REPORT FORM <br /> Facility !tame: D . H . WINN TRUCKING , INC . Tank i Size Product <br /> Fac iIity ,Addres s: 19555 North Tully Road <br /> P . 0 . BOX 24 . 1 nckP QC <br /> Telephone : 209-727-5531 2,3 <br /> Person Filing - <br /> Report <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 /> ElInventory 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) release. (Yes in CoLumn 13 of the <br /> Inventory Reconciliation Sheet) <br /> List date„ tank i, and amount for all variations that exceeded the <br /> allowable limits_ <br /> Date Tank f Amount <br /> I. <br /> z. <br /> 3, <br /> 4. <br /> 5. <br /> Additional dates/amounts shall be continued on a separate sheet 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 .JyL. H . D . Environmental health <br /> within 24 hours and an unauthorized release report submitted. <br /> The quarterly summary report shall be Aubcmitted within 15 days of the end of each <br /> quartCr. <br /> I�� <br /> Quarter I - January --> Harch ;Q. "ri, <br /> Quarter 2 - April --> June j .. <br /> Quarter ) - July --3 September <br /> Quarter 4 - October -> Ik,cvmber IYlAIR U 1989 <br /> Send to: SAN JOAQUIN 1,0(:A1, HEALI]i DISTRICT <br /> 1601 E . Haze I t cut , P . 0 . BOx 2009 PERt.!TISERVi1_-,c" <br /> Stockton , CA 95201 466-67bl <br /> Uc;"I' 40 10/ 86 <br />