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r, 4 <br />SAN JO*EN71RONMENTAL <br />N COUNTY PUBLIC HEALTH SCES <br />HEALTH DIVISION <br />- � <br />ANNUAL INVENTORY RECONCILIATION SUMMARY � O <br />California UST Regulations, Article 4, Section 2646(j) <br />J A N 14 1994 <br />Facility Name �'ft7�j�/{.�L'� F1\1\11WQ 4 E�,�._ <br />Address AE'- A24E7/u10n(T City k�01-q <br />All inventory variations for the above mentioned facility were <br />within allowable limits of Title 23, California Code of Regulations, <br />1 vision 3 Chapter 16, Sectickn 2646, for the 12 m nth period from <br />19 to U p 19 <br />Inventory variations in excess of the allowable limits of -Section <br />2646, occurred as listed below. <br />DATE I I TANK I / 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 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 />-TAf-kC)AeA 12 1k <br />Facility Tank Operat r/Owner! Date <br />EH 23 019 8-1-92 <br />