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Fac' Name: <br />40 a . 0 RECEIVED <br />INVENTORY RECON <br />CILIATION <br />QUARTERLY SUMMARY RF PORTF JAN 1 7 1992 <br />Q1RQNM6M-rAi Ll &, <br />Fac. ity Address: 7272 <br />9S'?cam <br />Telephone : �ict � _ 3 � b`z <br />Person Filing .......... <br />Report <br />❑ I hereby certify under penal[ of <br />the above mentioned facility vere withinytheat all alLowablecntory lim tsvas <br />quarter. (No in Column 13 of the Iforthis <br />nventory Reconciliation Sheet) <br />neocy variations <br />herrebybyexceeded the allowable Limits for this quarter. I <br />certify under PenaltY of <br />wa3 no[ due to an unauthorized (leak)rrelease. <br />y that cheYesul�e�ir the variation <br />Inventory Reconciliation Sheet) (— umn 13 of the <br />LisC date, tank /, and amount for all variations <br />Allowable lithat exceeded the <br />miits. <br />Date <br />Tank I <br />— <br />A=ouo t <br />12 <br />/ <br />QN 4rtcr <br />2 - <br />April <br />--> Jure <br />3 <br />Quarter <br />1-y - <br />-_ <br />Q!�artcr <br />4 - <br />October <br />rldditioaal daces/amounts shall Paper and attached.be continued on a separate sheet of <br />for <br />If the source of the variation which exceeded allowable lim <br />a leak the incident shall be reported to its was dui to <br />and an unau[hor <br />within 24 hours S.J.L.ii.D. Environmental Health <br />'"d rf•lease report submi[[ed. <br />The quarterly <br />Tia rCer . <br />sum -Ary report shall b4! submitted vi thin IS ILlys of ttic rnd of each <br />Quarter <br />I - <br />January <br />"arch <br />QN 4rtcr <br />2 - <br />April <br />--> Jure <br />Quarter <br />3 - --JL <br />1-y - <br />-_ <br />Q!�artcr <br />4 - <br />October <br />'Cembr.r <br />'-> Ikccmbcr <br />.Cn�l CO: <br />SAN <br />'li <br />. DISTR IC1' <br />1601 <br />F, Hazelton, I'.0. <br />Box 1009 <br />UGT 40 10/86 <br />Stockton. <br />CA 95201 <br />466-6781 <br />