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0 0 <br /> QUARTERLY INVENTORY REPORTING <br /> Facility Name: /�ru.�-� �� // Tank ! Size Product <br /> Facility Address: .9e L'CIO "zJ <br /> City: od, " <br /> 0- 1 <br /> County: SV 9-000 <br /> Stater <br /> Waste oil <br /> I hereby certify under penalty of perjury that all product <br /> ❑ level variations for the above mentioned facility wereI <br /> within allowable limits for this quarter. <br /> Inventory variations exceeded the allowable limits for <br /> this quarter. I hereby certify under penalty of perjury Uu r 18 1989 <br /> that the source for the variation was NOT due to an <br /> unauthorized (leak) release. <br /> List date. tank E and amount for all variations <br /> ENVIRONMENTAL <br /> LTH <br /> PERMIT/SERVICES <br /> that exceed the allowable limits <br /> Date Tank # Amount Date Tank # Amount <br /> 1- 31 S$O 7-7 + vi-P,S g v e r <br /> -1- 51 7fO i 6 se n �S <br /> zaa <br /> 1. 2- <br /> All <br /> The quarterly summary report shall be submitted within 15 days N�� 3 <br /> of the and of each quarter. �— <br /> Quarter i — January thru March Submit by April 15 <br /> Quarter 2 — April thru June Submit by July 15 <br /> Quarter 3 — July thru September Submit by October 15 Ic- �- <br /> Quarter 4 — October thru December — Submit by Janaury 15 S a V e� <br /> Send To (Local Agency) : SOW Zn Ajo,,®,qJn 4-L-rT77k/� l s,, -o <br /> KEEP COPIES OF THIS FORM FOR YOUR OWN RECORDS <br /> DATE MAILED r— <br />