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Im <br />SENTORY KECRNCILIATION <br />QUARTERLY SUMMARY REPORT FORM <br />39 <br />PersonReport �i = 2 <br />variations[31 bereby certify -WW*r penalty of ■ <br />. <br />dw above mentioned faciLity were within the allowable limits for this <br />quarter. Q!1 in Colum 13of the inventory &qconciliariR0aS,, <br />L , 2" <br />Zoventocy variations oxcooded the allovable*limits for this rt <br />. of perjury <br />W&g not due t* an unauthorized (leak) celease. (Yes V_*f44@W91*1fAE44EALTH <br />%WV1s*t0Cy #AG0RGili&ti0& Shoat) PERMIT/SERVICES <br />List dates task #p and amount for all variations that exceeded the <br />allowable 1' °ts. <br />to tank Amount <br />,. _95 <br />2. ,.,�.1.L........ a.:�......... -� . ��o? <br />-a! <br />tt <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 allowable 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 IS days of the end of ' <br />' <br />qvacteg. <br />Quarter 1 - January --> March <br />SOW to: <br />40 10/86 <br />Quarter 2 - April --> June <br />Quarto 3 - July --> September <br />Quarter 4 - October --> Decembers <br />SAN JOAQUIN LOCAL. HEALTH DISTRICT <br />1601 E. Hazelton, P.O. liax 2009 -0 <br />' <br />Scockton, CA 95201 466-6781 <br />4 <br />J X <br />S <br />0, <br />t <br />Quarter 2 - April --> June <br />Quarto 3 - July --> September <br />Quarter 4 - October --> Decembers <br />SAN JOAQUIN LOCAL. HEALTH DISTRICT <br />1601 E. Hazelton, P.O. liax 2009 -0 <br />' <br />Scockton, CA 95201 466-6781 <br />4 <br />J X <br />S <br />0, <br />