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SAN JOAN COUNTY PUBLIC HEALTH S*CES <br />EIv RONMENTAL HEALTH DIVISION <br />ANNUAL INVENTORY RECONCILIATION SUMMARY REPORT <br />California UST Regulations, Article 4, Section 2646(j) <br />Facility Name <br />Address 0-3C, City <br />All inventory variations for the above mentioned facility were <br />within allowable limits of Title 23, California Code of Regulations, <br />Division 3, Chapter 16, Section 2646, for the 12 month period from <br />j- i 19Ij -2- to 12- i 1992 . <br />ā¯‘Inventory variations in excess of the allowable limits of Section <br />2646, occurred as listed below. <br />DATE I TANK t / PRODUCT I AMOUNT (Gallons) <br />Submit report within 15 days following the end of the last month of the <br />12 -month period covered by the report. Report to be submitted to: <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />P.O. BOX 2009 <br />STOCKTON, CA 95201 <br />I certify under penalty of perjury, that all variations (if any) <br />exceeding allowable limits are indicated above (California Health & <br />Safety Code, Section 25299): <br />Facility T4nk Operator/Owner <br />EH 23 019 B-1-92 <br />Date <br />