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• <br /> QUARTERLY BTATEMUC of nmmam RDOCIiCILUMCN <br /> I <br /> STOCKTON CENTER <br /> 1804 WEST MAIN STREET <br /> 45964-2 1000 REGULAR <br /> Si <br /> QUARTER: beginning III-1-S7 <br /> ending <br /> Daily inventory reconciliation data indicates: <br /> Inventory variations were within allowable limits. <br /> ❑ Inventory variations exceeded allowable limits. Variations were not due to <br /> an unauthorized release to the environment. Variations are listed below. <br /> Total <br /> Allowable Actual <br /> Variation Variation <br /> pate (Form 6441 column L) (Form S-84; colum I) <br /> 1. <br /> 2. <br /> 3. <br /> 4. <br /> s. <br /> 6. <br /> (Attach a separate sheet for additional days) <br /> Name of responsible individual (print) <br /> Signature of responsible individual <br /> Telephone !Amber (facility) o?o9 yG31 63 <br />