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OINVENTORY RECGNCILIATIO <br /> UARTERLM SUMMARY REPORT �*t <br /> Facility Name: FEIMCO Site <br /> 4"' Fac;1 ity Address: 10415 Hwy 88 <br /> Person <br /> Report; <br /> ; Gordon E11ery ----�-- <br /> I hereby certify under penalty of perjury that a.li inventory <br /> ox variations ,for the above mentioned facility were Within the <br /> allowable lin its for this quarter . (N2 in o1.- aD <br /> � - D <br /> Inventory Reconciliation Sheet. ) <br /> i <br /> Inventory variations eXoeeded the allowable I ' c +� ,s <br /> quarter. I hereby oertiff undar penalty of p T��Mat the <br /> source fc_� the variation �:as not clue to aSNUR4lStMPAG&L` H <br /> ree�lsas . (y in Cozunn 13 of the 7i.�en t^ryp��✓` ��l n <br /> Sheety . <br /> List date, tank #, amount for K! variations and the rea: on <br /> fo''' exceeding the allowable limits, <br /> Dagt n k M2;nr_ ear <br /> 1. <br /> 2 . <br /> 3 . <br /> 4 ,�. __ <br /> 5. <br /> W].#;ionaT dates/amounts shall ba cOntinund on a separate <br /> sheet of paper and attached, <br /> if the slu re of the variation whiCh exceeded al loctia,ja limits <br /> was duo tO a leak, the incident shall he reported to p=ublic <br /> Health-,. «etv es of San JO3CuiiCli`ty ETb . <br /> Lonm: :ta% health <br /> Divisions Within tuent4-fOu (2 hours and an u71?.ut;3'arizei <br /> release report submitted. <br /> The quarterly sumyarY M parr Shall be su br.i ted within fifteen (15) days o <br /> tha end of each quarter. Circle appropriate quarter. <br /> Quarter — h <br /> I- Qqarter Q- u1v ------------>September <br /> Na,r ter 4 r October --------- :o scemser <br /> 4 <br /> Senor to SAN JOAQUIs CGUYA TY PUBLIC WLTH SERVICES <br /> ±iEN`I'Aia REAL H DIVIS10ti <br /> Hazelton Ave , a'-0, box 2009 <br /> stockrcn' CA 95201 <br /> (203) 468-0420 <br />