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TANK GAUGING SHEET <br /> Yacilityi GEWEKE FORD Tanki /� Sire/Product: �Year: <br /> Gauging Period Inventory Variations <br /> A B C D E _ F G <br /> t <br /> Opening Closing Exceed <br /> Dipstick Dipstick Actual Allowable Allowable <br /> . From To Reading Reading Variation Variation Variation <br /> (C-D) Is E>F 1 <br /> Date/Time Date/Time Inches I Gallons Inches Gallons Gallons +/-Gallons Yes/No <br /> 7•T si is•ss r7S 3 7 PAr /- <br /> Af 7 .17.01 70 21. 000 +l- <br /> i/•di► — d f e +,- <br /> S'- -, • •ems A6 > c u :4 <br /> 7-/p rf ;0 407 ;7AA 1. ,t 7 <br /> +/- •i <br /> I <br /> +���",7RONiViE <br /> ' RVICFc- <br /> Allowable Variation x .01 If Total is 0 --J 5 - Enter Exact Amouni. <br /> Can— k size Total Over 5 - Enter 5 <br /> ^ If you ;answered vns in Column C, S .J .L.H .D . Eoviroamnntal Health shall be notified within <br /> 24 Hours and an Un:nithorized Release Report Submitted within 5 days. <br /> SAN JOAQUIN LOCAL hEALTH DISTRICT <br /> 1601 E. Hazelton , Stockton , CA 95205 <br /> UG-I' 38 10/86 466-6781 --__ <br />