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INVENTORY ACCONCILIA11011 <br /> UA TE tT S ART REPORT FORM <br /> Lawrence Livermore <br /> tactLitj = National Laboratory - Site 300 Tsai Atte Pro-dYCC <br /> 879-G1U1 10,000 gal egu ar <br /> ractttty Allrilet P.O. Box 808 L-192 _ 879-G2U1 10 000 al Unleade <br /> Livermore, CA 94.550 •879-D1U1 3,000 al D ese <br /> 05-D1U1 340 gals Diese <br /> Telephone: (415) 423-8875 <br /> Person Filing - e <br /> Richard Ragaini 834-D1U1 1 10 iesel <br /> Reporc 836-DlUl 280 galsl Diesel <br /> hereby certify vo4cc pcsattl of PerjVCy that sit inventory rariatioos for <br /> the abort mCi d fscititl v>'cre withia t altovabtc limits foc this <br /> tvaeCee. (Ko to Colvto 11 of C'e laveotoej ReCO"Cittatioa S7heet) <br /> X tavcatocy Yaciati s cxcccdct the atlovable limits for this Avarter. i <br /> deeeby certify rotec p.coaltr of peejucr Chat the source toe the varistioa <br /> was not due Co as vaauthoritcd ( leak) release. (yet is column 13 of the <br /> tareatocy Rcc iliationSheet) <br /> List -dates task •1• !od nt foc all raciatioos chat cccecded the <br /> alt able11-its. <br /> Date Tack / ct <br /> 1. <br /> 3. - See Table 1 <br /> AddiC►osal dates/a,a.owoCs shall be ConCtOued oo a separate sheet of <br /> paper and act ached . <br /> It the aotaree of tete ray tat mq.a vl..ah ♦.c. r.lret of lu..aAlf limits was dv.• to <br /> teak the tnCedCn( shall br N 1) �n®ee®na+e^tat llralth <br /> weChan jC houte anJ an wna•.t1r.1sr eel•n•t avbaiCtrel <br /> Llee gvSir Cerly sa.a.aJt' to-pocC shall 4. a..bsettrd wetl,en 1, days of the end of r.tel, <br /> quattre <br /> Quarter 1 Janwary --' M..tl. <br /> Quarter ' ,►.el' �, - <br /> talt.•tarCCr - CCobefl�rraleet <br /> Send to: SAKI JOAQU i Nt I.0CAL 11EA1.1'1i 0111 K 1(.l <br /> r 1601 K. 1!lzt•1te.tt, ".0 licet jgel"' <br /> e -GIb1 <br /> SIC�CkCOn . CA 95201 t.6f1 <br /> t1f;T /.0 10/M6 <br />