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• Scolch�7664"Post-it"Routing Request Pad <br /> ROUTING - REQUEST <br /> Please <br /> '' ❑ READ To <br /> .. QURnMy VnUTKW of 1M ❑ HANDLE <br /> ❑ APPROVE •��c: �-���5 /°�r <br /> and SNL <br /> ❑ FORWARD <br /> ❑ RETURN /'LC.�(/�r� meq/ �0 0 . <br /> ❑ KEEP OR DISCARD <br /> STOCKTON CENTER ❑ REVIEW WITH ME <br /> 1804 WEST MAIN STREE- <br /> 45965-3 1000 Ut Date From__-_ QCy/r <br /> Si <br /> c <br /> Qumrilm: beginning <br /> ending 93o Fl <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 Norm 544) column L) (Form S44; column I) <br /> 1. <br /> 2. <br /> 3. <br /> 4. <br /> 5. <br /> 6. <br /> (Attach a separate sheet for additional days) <br /> Name of responsible individual (print) c�t/•0E>2 _0,22— <br /> Signature <br /> 22Signature of responsible individual <br /> Telephone insnber (facility) <br />