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0 <br /> QjARYMY M7VM T OF INVM?rMY MOONCILLATION <br /> SIOC:K'TON CENTER <br /> .1.::04 WLS1 MAIN STREET <br /> 459f,!3-3 1000 UNLEADED <br /> S.7 <br /> QUARTF3t: beginning Com-1 <br /> ending �e <br /> Daily inventory reconciliation data indicates: <br /> Inventory variations were within allowable limits. <br /> ❑ Inventory variations exceeded allowable limits. Variations were not due to <br /> an unauthorized release to the environment. Variations are listed below. <br /> Total <br /> Allowable Actual <br /> Variation Variation <br /> Pate (Form 5-841 column L) (Form S-84; colum^ I ) <br /> 1. <br /> 2. <br /> 3. <br /> 4. <br /> 5. <br /> 6. <br /> (Attach a separate &hest for additional days) <br /> Name of responsible individual (print) � c^^lJc6rL f p t,x— <br /> Signature of responsible individual �i CYl t <br /> Telephone Number (facility) dog <br />