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r <br /> INVENTORY RECONCILIATION <br /> QUARTERLY SUMMARY REPORT FORTS <br /> Facility Name: D . H . WINN TRUCKING , INC . Tank # Sise Product <br /> 7-77777-7777 <br /> 7777f7 ;/ t <br /> Facilitty .'Address: 19555 North TuIIY Road <br /> P . 0 . BOX 24 . 1ockpfor <br /> Telephone : 2.09-727--5531 <br /> Person 41 g r_ <br /> Report' F <br /> r <br /> u l 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 l3 of the inventory Reconciliation Sheet) <br /> L" �" l <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) release. (Yes in Column13 of the <br /> Inventory Reconciliation Sheet) <br /> List date, tank f, and amount for all variations that exceeded the <br /> allowable Limits. <br /> Date Tack E Amount <br /> 2. <br /> 3. <br /> 4. 0 <br /> �11S I S"GCtV1CC5 <br /> S. <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 ai'lowable limits was duct 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 --> Harch <br /> Quarter 2 - April --> June <br /> Quarter } - July <br /> Quarter 4 - October --) Ihcember <br /> Send co: SAN JOAQUIN LOCAL HEALTH DIS*I'RlC'1` <br /> 1601 E . Hazo 1 t cin . P .O . ROX M09 <br /> Stockton . (.A 95201 460 -67hl <br /> ll(;I' 40 10/86 <br />