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v SAN J AO QUIN COUNTYPUBLIC IALTfi 5'!!�VICES <br /> ENVIRONMENT-AL azzALTH DIVISION <br /> ANNUAL 1-21V=OR`i RECONCT-=3TICN SUM U R`I R PORT <br /> California QST Regulations, Articla 4, Section 2546 (j ) <br /> Facility Name � r) ��CA0-r <br /> Address 3wo e C; ty J tON <br /> All inventory variations for the above mentioned facility were <br /> within allowable limits of Title 23 , California Code of Regulations, <br /> D ' vision 3 , Ctanter 16, Sect 2546I�,� for the 12 month Deriod from <br /> 19 �� to Myv � I 19 q8 _. <br /> ninventory variations in excess of the allowable limits of Section <br /> 2646 , occur ed as listed below. <br /> DATE ( TANK T / PRODUCT I AMOUNT (Gallons) <br /> I I I <br /> I I <br /> I I I <br /> j I I I <br /> I I I I <br /> I I I I <br /> j I i <br /> I I I <br /> I I I <br /> I i <br /> j I I <br /> I I I <br /> I I I <br /> I I I I <br /> I i I <br /> Submit report within 1S days following the end of the last month of te <br /> 12-month Deriod covered by the report. Renort to be submit--ed to : <br /> SAN JOAQD'IN COU=- PUBLIC HEALTH SERVICES <br /> ENVLRON21E2ITAL HEALTH DIVISION <br /> P.O. BOX 388 <br /> STOCXTON, CA 95201-0388 <br /> I cartify under penalty of perjury, that all variations (if any) <br /> exceeding allowable limits are indicated above (California Health & <br /> Safety Code, Section 25299) : <br /> — Vo <br /> Facility Tank Operator/Owner Dat_ <br /> EH 23 019 8-1-92 <br />