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SAN fEt <br />VIRONMENTAL HEALTH DIVIS IN <br />ANNUAL INVENTORY RECONCILIATION SUMMARY RMEPORT <br />California UST Regulations, Article 4, Section 2646(j) <br />Facility Name <br />FA <br />Address 1-::�Yet:-MAALZ LZ <br />All inventory variations for the above mentioned facility [ were <br />within allowable limits of Title 23, California Code of Regultions, <br />Division 3, Chapter 16, Section 2646, for the 12 month period from <br />Tat"11 A IL 19!E1 6 to -'�g=o->4d42C 19_Lq /. <br />F7Inventory <br />variations in excess of the allowable limits of Section <br />2646, occurred as listed below. <br />I DATE I TANK 0 / PRODUCT I AMOUNT (Gallons) I <br />Submit report within 15 days following the end of the last month - <br />12 -month period covered by the report. Report to be sub -txt <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERV77:Ctff 4 1997 <br />ENVIRONMENTAL HEALTH DIVISION "F-P,15H <br />P.O. BOX 388 ES <br />STOCKTON, CA 95201-0388 ITf <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 />I <br />I <br />Facility Tank Operator/Owner <br />EH 23 019 8-1-92 <br />