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SAN JOAQJIN COUNTY PUBLIC HEALTH S*ICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ANNUAL INVENTORY RECONCILIATION SUMMARY REPORT <br /> California UST Regulations, Article 4 , Section 2646 (j) <br /> Facility Name <br /> Addresses � �z City <br /> F-1 All inventory variations for the above mentioned facility were <br /> within allowable limits of Title 23 , California Code of Regulations, <br /> Divis ' on 31 Chapter 16, Section 2646,. for the 12 _month period from <br /> 19 �'V to _ .. L 19 9 <br /> F-1 <br /> Inventory variations in excess of the allowable limits of Section <br /> 2646, occurred as listed below. <br /> DATE TANK # / PRODUCT AMOUNT (Gallons) <br /> r <br /> 771 <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 allows a limits are indicated above (California Health & <br /> S fety ad tion 9) : <br /> F c t Tank 0 eratorner Date <br /> EH 23 019 8-1-92 <br />