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TANK CAUCINC SHEET r <br /> Pacilit-�f: Size/Product:�,�gy� � �� � / Trnkl: SSIi 19g�� <br /> Year: <br /> Gauging Period Inventory Variations <br /> A B C D E F C <br /> Opening Closing Exceed <br /> Dipstick Dipstick Actual Allowable Allowable i <br /> Proa To Reading Reading Variation Variation Variation j <br /> (C-D) Is E>F <br /> Date/Time Dace/Time Inches GalLous Inches I CaL Ions Callous +/-Gallons Yes/40 <br /> 1 2640 0 _ 143 143 +/- 5 No <br /> s 4 o <br /> 2 - 9- 90 12- 90 Ful) ( I <br /> tb <br /> 2�23rR0 2i'2b90 = 3 I <br /> 2 /90 90 <br /> 9r 1 G' I <br /> 3 23 aff Mi ria Sol of ,/- ,S N<` <br /> 4 1 On- 4) G F 1 I <br /> 14 G ' 1 51 +/- G N 0 <br /> z& s 4 23 q a 4-q '1� 0 <br /> 5-3 -4� -7-9 0 i 4 2 Z 7 <br /> 54l_90 .5._14 .vv -L I z7 <br /> 39 c 39 <br /> � I <br /> + <br /> Allowable Variation x .O1 If Total is 0 --> 5 - Eater Exact Amount <br /> Tank size Total Over 5 - Enter 5 <br /> If you *answered v¢s in Culuam C, S .J.L.H.D. Environmental NnalLh shall be notified within <br /> 24 Hours and an lhcmtlorizc•1 Release Report Sub2ttted within 5 days. <br /> SAN JOAQUIN LOCAL hEALTH DISTRICT <br /> 1601 E . Hazelton , Scockcon , CA 95205 <br />