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r <br />`0 6will <br />INVENTORY RECONCILIATION <br />� AY o t9g� <br />QUARTERLY SUMMARY REPORT FORM 2 <br />E'@CLUtr N;•as <br />lads ty Addces,t 140,5 tyJA1N ST. <br />rr _. <br />�[ GNt ', <br />Telephone: <br />Person Filing _ <br />Report 11// / <br />d� <br />FNY11t010EN1 AL HEhl-iH <br />--t^9-C <br />1` beteby certify Hader persalt f <br />Labove y operjury that all inventory varistioas for <br />Cation" facility were within the allowable limits for this <br />quarter. (Ho in Column 13 of the Loventory Reconciliation Sheet) <br />Iaveatary varistioas exceeded the allowable Limits for tbi■ <br />hereby certify under penaltyof quarter. t <br />perjury► that the source for the variation <br />v+s not due to an ugauthori=ed (leak) releise. (Yes in Column 13 of the <br />r loventory Reconciliation Shfet) , I <br />Gist date, tack f, sad Jtmount for all variations that exceeded the <br />allowable Liaits. <br />Date Y• -mak f <br />1'^r -l. <br />—1191 —ii <br />4- <br />M.ov o t <br />%J1}� <br />u C) <br />A,ddjtto°■l dates/amounCx shall be Contioued oo s separate sheet of <br />paper and aCCaC11cd_ <br />if the rourCc of Che variaCion ..h,eh r"C'•edcd allowable Limits -as dux to <br />■ l t.k Chc ►nt 4dCn[ shall be rrr,��r cc J c n <br />within 2(r . 1.l_,H D. Envtronmcn{aL Healetti <br />hOUCs end an unau(hgrr�rd rrlrasr rcrorC subal{Ccd. <br />retic <br />Vu+rKC'. arly s w ry u <br />r+(�orC shill hC KbmiC(ed vt{hln 15 days of the cnd of caCh <br />F <br />Quarcer 1 - Janurry --) H.7CCh <br />Q'JarCer 2 A1,ri l --) June <br />QuarCtr 1 - Jul <br />Y --) sel,Ccmh4-r <br />Q+arCcr 4 <br />0[[obcr --) 1l4temher <br />Sind Co: <br />AN JOAQU 1 N LOCAL 11EA1,11i u l ti rLe l C'1 <br />1601 K. 11.1z • 11 1111 , 1-.0 It1)x -!.()()') <br />10/86 til.ockton• CA 95201 1,66-6781 <br />