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FaciL ty Nanta __E1= Liggors Inc <br />lac lity 4ddress: 1301 W. Kettleman <br />.. .. i ... <br />Calif2ZUiA 9524 <br />Telephone: 209,334-32331 <br />Person Filing <br />Report Pete Graffigna <br />I hereby certify under peoaltr of perjury that all inventory variations for <br />the above mentioned facility veru " in the allowable limits for this <br />quarter. (No in Column 13 of the Inventory Reconciliation Sheet) <br />Inventory variations exceeded the allowable limits for this quarter. I <br />hereby certify under penalty of perjury that the source for the variation <br />was not due to an unauthorised (leak) release. (Yes in Coles 13 of the <br />Inventory Reconciliation Sheet) <br />List date, tank f. and amount for all variations that exceeded the <br />allowable limits. <br />Date ,Tank f Amount <br />1 -Ear 1313 0 <br />2. Rpm wq�jgMar 88 2 0 <br />3• Mar 88 3 0 APR 1 4- <br />4. 4. <br />ENVI O ENTAL HEALTH <br />5. PERMIT/SERVICES <br />Additional dates/amounts shall be continued on a separate sheet of <br />paper and attached. <br />If the source of the variation which. exceeded at -lovable limits was due to <br />a leak the incident shall be reported to S.J.L.H.D. Environmental Health <br />within 24 hours and an unauthorised release report submitted. <br />The quarterly summary report shall be submitted within 15 days of the end of each <br />quarter. <br />Quarter 1 January --> March <br />Quarter 2. April >,June <br />Quarter 3 July --> September <br />Quarter. 4 - October --?;December, <br />Send to: SAN JOAQUIN LOCAL HHALTI! DISTRICT <br />160L E. HaZe I c 0ni P.O. BOX 2009 <br />Stockton, CA 95201 466-6761 <br />UGT 40 10/86 <br />