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Al <br /> -'NTORY AWCONCILIATION <br /> III OCT 3 "1 <br /> QUARTERLY SUMMARY REPORT FORM <br /> E NV o R 0 14 TH <br /> FacitiLy Name: RMC LON.ESTAR___.. --,rank oduc t <br /> 1 ' UUU Un Iewd e Er <br /> FacillLy Address : 30350 S . Tracy Blvd. 2 10, 000 --Diesel <br /> -T-racy, t-d-.--9'5.576-- - 5 7 000 Diesel__-T5T2-T <br /> Te lf"141()ne: 2 <br /> llepoi.-L : LLOYDS BURNS <br /> I her: cerLily utider Pena of perjury Lhat .all inventory variations <br /> for the above menLi.oned faci-.lily were within the allowable limi. Ls for <br /> 1/\ I 1-his quarter . ( No in Column 13 of the Inventory Reconciliation Sheet . <br /> Inventory variations exceeded Lhe allowable limits for this quarter. I <br /> El hereby certify under penalty of perjury that the source for the varia- <br /> 1-iOn was not due to unauthorized ( leak ) release. ( Yes in Column 13 of <br /> the Inventory Reconciliation Sheet ) . <br /> List (late, Lank 0 , <br /> and amount for all variations that exceeded <br /> the allowable Limits . <br /> Date Tank 11 Amount <br /> 2 . <br /> 3 . <br /> 4 . <br /> 5 . <br /> Addi, Lional daLes/amounLs shall be continued on a separate sheet <br /> paper and attached . <br /> II the source of the variation which exceeded allowable limits was <br /> due Lo a leak, the incident shall he reported to San Joaquin Local <br /> Health District ; EnviroiimenLal Health Division, within twenty-four <br /> ( 24 ) hours and an 1-Iiiatithorized release report sublilitLed . <br /> The qp'lal-terly slimmary report: shall be submiLLed wiLhin fifteen ( 15 ) days <br /> of the end of each quarter . <br /> Quarter I January----------->Marcil <br /> July------------->SepLember <br /> Quarter 4 OcLober----------->December <br /> Send to: SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. flazelton, P.O. Box 2009 <br /> Stockton, CA 95201 468-3420 <br /> qq ATTEN : JAIME FAVILA <br /> III 21 019 10/86 <br />