Laserfiche WebLink
1 HVEUTORY R[CotIC I L 1A AN <br />QUARTERLY SUMMARY REPORT FORP,, <br />F - '11� he <br />7 - <br />Fac. ity Address: 1-7 <br />Telephone: <br />Person Fi <br />Repor <br />t. . <br />I hereby certify under penalty <br />the above meat' Of Perjury that all inventory arition <br />Loned facility were within the allowable limitsvforathissfor <br />quarter. (No in Column 13 of the Inventory Reconciliation Sheet) <br />Inventory variations exceeded the allowable limits for this quarter. I <br />hereby certify under penalty Of perjury that the source for the variation <br />Inventory Reconciliation Sheet) <br />was not due to an unauthorized (leak) release. (yes in Col Che <br />13 of the <br />List date, tank 1, and amount for all va*- <br />Allowable limits. riatioas that exceeded the <br />1. Date Tank # A=unt RECEIVED <br />2. APR 15 1991 <br />3 ------ ENVIRONMENTAL HEALTH <br />------ PERMIT/SERVICES <br />4. <br />5. <br />Additional dates/amounts shall be continued on a separate sheet of <br />Paper and attached. <br />If the source of the variation which exceeded allowable limits was due to <br />a leak the incident shall be reported to <br />' $-J.L.H.D. Environmental l(calth <br />Within 24 hours and an unauchor <br />The 17" r0lease report submitted.qt1jrtcrLy summary report shall I)0 submitted with, <br />quar ( e r . iit' IS 41JYS ot the end of oactl <br />Quarter I - January March <br />(*,),j -1 r t e r 2 - April J11(le <br />Quarter 3 - July > Vrti r <br />Q'J <br />- October <br />to: S, A N JOAQ11IN LOCAL HEAL111 DISJ'1,,1C1, <br />1601 F. Hazelton, 1'.0 Box 2009 <br />UGT 40 10/86 Stockton, CA 95201 466-6781 <br />