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SAN JG*UIN COUNTY PUBLIC HEALTH $RVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ANNUAL INVENTORY RECONCILIATION SUMMARY REPORT <br /> California UST Regulations, Article 4, Section 2646(j) <br /> Facility Name PUBLIC WORKS <br /> Address 1810 E. HAZELTON AVE. City STOCKTON <br /> All inventory variations for the above mentioned facility were <br /> within allowable limits of Title 23 , California Code of Regulations, <br /> Division 3, Chapter 16, Section 2646, for the 12 month period from <br /> 19 to 19 <br /> 7 XI <br /> Inventory variations in excess of the allowable limits of Section <br /> 2646, occurred as listed below. <br /> DATE TANK PRODUCT AMOUNT (Gallons) <br /> Feb. 1992 #3 Diesel 174 <br /> Oct. 1992 #2 No Lead Super 24 <br /> Ivil <br /> JAN � 7 1993 <br /> 9WIRGWENTAL 1 EAO-f <br /> RE- MIU Dk 1 6S <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 allowable limits are indicated above (California Health & <br /> Safety Code, Section 25299) : <br /> Public Works Road Maint. January 6, 1993 <br /> Facility Tank Operator/Owne� Date <br /> EH 23 019 8-1-92 <br />