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QUARTERLY INVENTORY REPORTING <br /> Tank Size Product <br /> Facility Name: S an10— 1 <br /> Facility Address: 01 <br /> City: --i�3to(-kclt—" <br /> County: I-) A 0 <br /> State: <br /> Waste oil <br /> ." <br /> I hereby certify under penalty of perjury that all product <br /> level variations for the above mentioned facility were <br /> within allowable limits for this quarter. <br /> 1 100 <br /> Inventory variations exceeded the allowable limits for FEB .9 <br /> ' TEthis quarter. 'I hereby certify under penalty of perjury <br /> �N <br /> that the source for the variation was NOT due to an L.RN4MENAI HALT! ' <br /> 1T "ERMES <br /> unauthorized (leak) release. <br /> List date, tank # and amount for all variations <br /> that exceed the allowable limits <br /> Date Tank # Amount Date Tank f Amount <br /> M 4- S <br /> 4 F <br /> 3 9 St- <br /> /0-2 i 43L Z- -,3t)_ 3 <br /> -7 3,4b <br /> The quarterly summary "part shall be submitted within 15 days <br /> of the end at each quarter. <br /> Quarter i - January thru March — Submit by April 15 <br /> Quarter 2 - April thru June — Submit by July 15 <br /> Quarter 3 - July thru September — Submit by October 15 <br /> October thru December, - Submit by Janaury 15 <br /> /;-' IL <br /> Send To (Local Agency) : <br /> 44 <br /> KEEP COPIES OF THIS FORM FOR YOUR OWN RECORDS <br /> DATEMAILED [- ,- �—e7k) <br />