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O'Y RECONCILIATIO <br />QUARTERLY REPORT i. <br />L hereby certify under penalty of perjury that all inventory variations for <br />the above mentioned facility were within the allowable limits for this <br />quarter. (No in Column 13 of the invencocy Reconciliation Sheet) <br />Inventory variations exceeded the all able limits for this quarter. I <br />hereby certify under penalty of perjury that Che source for the variation <br />was not due to an unauthorised (leak) release. (Yes in Column 13 of the <br />Inventory Reconciliation Sheet) ...� <br />List date, tank /, and amount for all variations chat exceeded the <br />allowable lia.its. <br />Date Tank Amount <br />Additional daces/smouncs shall be continued on a separate sheet of <br />paper and attached. <br />Lf Che source of the variation which.exceeded at-towabte limits was due to <br />a leak the incident shall be reported to S • J , L • H • D • Eaviconmentat licat ch <br />- within 24 hours and an unauthorized release report submitted. <br />The quarcerty summary report shalt be submitted within 15 days of the and of each <br />quarter. <br />Quarter 1 January --> March <br />Q�Aarter 2 - April --> June <br />Quarter 3 - July --> September <br />Quarter 4 - October --> December <br />Send to: SAN JOAQU IN 1.0(:A1. HEALTH DIS -1-H I CT <br />1601 1:. Haze 1 t on . P.O. Rox 2009 <br />Slockcon, CA 95201 466-67b1 <br />LICT 1#0 10/86 <br />