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SAN JWIRONMENTAL <br />IN COUNTY PUBLIC HEALTH VICES <br />HEALTH DIVISV <br />ANNUAL INVENTORY RECONCILIATION SUr1MARY REPORT <br />California UST Regulations, Article 4, Section 2646(j) <br />Facility Name 7/2 ZLL—VG�— <br />Address 7 City <br />J <br />2!�All inventory variations for the above mentioned facility were <br />wit-hin allowable limits of Title 23, California Code of Regulations, <br />Division 3, Chapter 16, Section 2646, for the 12 month period from <br />3 pig/ 19 S 6, to DS C 195a. <br />F7 <br />Inventory variations in excess of the allowable limits of Section <br />2646, occurred as listed below. <br />DATE I TANK .4 / PRODUCT I AMOUNT (Gallons) <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 'Co: <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />P.O. BOX 388 <br />STOCKTON, CA 95241-0388 <br />I certify under penalty of perjury, that all variations (if any) <br />exceeding allowable limits are indicated above (California Health & <br />Safe t Code, Section 2520: S <br />Z <br />12ell <br />Facili y ank Ope at Owner Date <br />EH 23 019 8-1-92 <br />