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ARCO Facility <br />Address: <br />Zip: <br />A. All inventory rarlations for the above mentioned facility were within allowable <br />limits of Section 2646, CCR, Title 23, Division 3, Chapter 16, for the 12 month period from <br />to t o <br />B. Inventory variations in excess of the allowable limits of Section 2646, occured <br />on the following months, in the listed amounts, for the noted underground storage tanks. <br />From Inventory Reconciliation Sheet. If actual is greater than allowable, subtract actual from <br />allowable #reportdifference variation below. <br /># <br />Product <br />#.. r ## • Product <br />or <br />Product # <br />Tank # Tank # Tank # Tank # <br />Submit report within 1S days following the end of the last month of the12-month time period cover <br />by the report. Report to be submitted to your local implementing agency by Certified Mail if <br />possible% A copy of this report is to be submitted to: <br />.Products <br />:r il: Company <br />Environmental Compliance Administrator <br />1731S Studebaker Road <br />Cerritos, 90701-1488 <br />I certify under penalty of perjury, that all variations (if any) exceeding allowable limits arz <br />indicated above: <br />Facility Tank Operator Date <br />