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SIRA,S Input Template o <br /> Tank ID No JOE-1 Retum Completed Forth to: <br /> Site Name JOE S PLACE Shields, Harper & Co./EnviroQuest <br /> Tank Size (Gad 10,000 P. 0. Box 3066 <br /> Tank Contents: DIESEL Oakland, CA 94609 <br /> Period Ending <br /> Opening Stick Time of Gallons Pumped Deth-eries Time of <br /> Day of Day of Reading In Water Stick (Sales) (Net Galkxrs) Delivery <br /> Month Week Gallons level Reading From You _ <br /> Meter Readings <br /> z �' fool 7 /�✓ <br /> 8 i'- <br /> 10 <br /> _.- <br /> 113 <br /> 14 <br /> 17 ��:%gin; /// / a = �// � 7 ()<Z4�' /%�;>� <br /> 18 <br /> 19 <br /> 20 - . z /goy9 tia2 <br /> ! e � 7 Tpgo- <br /> 21 <br /> 1 v <br /> 23 6 <br /> 24 3-11 iI/D UQ -3o31/ <br /> 25 Ll q <br /> 26 f L,q:�7 Q �' c 0. / }�/ D q <br /> 27 3 <br /> 28 0 <br /> 29 f if" 13 9,P if tz�D, -7 o yZ /O <br /> 31 <br /> Closing Reading (Obtain at the end of the day or use <br /> NEXT DAY opening reading) <br />