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• INVENTORY RECONCILIATION <br /> ANNUAL SUMMARY REPORT FORM <br /> Year: 1995 Tank# Size Product <br /> Facility: Beacon Station#3-492 1 10000 g Unlead Plus <br /> Address: 470 N. Main Street 2 10000 g Supreme <br /> Manteca, CA 95336 3 10000 g Unleaded <br /> I hereby certify under penalty of perjury that: <br /> FX All inventory reconciliation data for this year was within the allowable <br /> variations (NO entered at the bottom of all Inventory Reconciliation Sheets). <br /> Inventory reconciliation data for this year was not within the allowable <br /> variations for the months listed below (YES enter at the bottom of the <br /> Inventory Reconciliation Sheet). <br /> Month Tank# Amount Tank# Amount Tank# Amount <br /> January <br /> February <br /> March <br /> April <br /> May <br /> June <br /> July <br /> August <br /> September <br /> October <br /> November <br /> December <br /> l' Jerry Unruh <br /> Signature Print Name <br /> Operations and Environmental Coordinator 5-Jan-96 <br /> Title Date <br /> invrpt Submit report within 15 days following the end of the calendar year <br />