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t <br /> QTR '2 <br /> INVENTORY RECONCILIATION <br /> OCT 13 1'92 <br /> QUARTERLY SUMMARY REPORT FORK '� <br /> raciLLty NaaF� R►e; i`��[` ;SER IC <br /> �rnrktoj <br /> Product <br /> !'acility Itddcessz n AASF Tank Sise2000 Stimson Rd. GAL _ <br /> E # 2 0 •GAL <br /> PersonrsonFL _4 <br /> cr,,,.ktnn A �� 3 <br /> Telephone : X2no) 982-3880 L JP-4 <br /> lirig <br /> Report SFC Curt Lance • <br /> El <br /> E hereby certify under Pcoatty of perjury that all inventory varia <br /> the above .rationed facility Vere within the atlovable limits for this; for <br /> quarter' <br /> (No is Cotuma 13of the Inventory Reconciliation Sheet) <br /> 1 - <br /> hereby cert <br /> Zaveatocy ifLitio®s exceeded the allowable limits for this Quarter. j <br /> - ify under Penalty of <br /> y Pec'ucy that the source for the varistiou <br /> was not due to as unauthorized (leak) eeleise. (Yes in Coleom 13 of the <br /> Eavc0iocy Reconciliation, Sheet) <br /> List date® Caak /® mad anouclt for all variations Chat . <br /> allowable limits. exceeded the <br /> Date Tank t Amouat <br /> L. <br /> Additional daces <br /> /&-ov <br /> paper and attached, ats shall be continued on, a separate sheet of <br /> If the source of the variation vhicN exceeded allowable limiC5 was <br /> a teak the incident shatl be reported to dun, to <br /> within 24 hours and an unauthorised cclease report s bmitted®nmcntal ticalth <br /> Thr quarterlysu <br /> quarter. cy report :hall be submitted within IS days of the end of each <br /> Quarter 1 - January --) Marcie W <br /> QQ.artcr 2 - ApriE ,.-3 June <br /> Qe,actcr 1 - JUUr __> Scnte'Gh,.r <br /> Quarter 4 - October --) [3recmbcr <br /> Send to: SAN JOAQU 1N LOCAL HEALI.1' U I S't'K I C7° <br /> 1601 E. 1:arrltaen . P.O. lsox 2,00) <br /> 111;1° "40 10/86 tit OCk con . CA 115201 466 6161 <br />