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TA-NK GAUGING SRE ET <br /> Facility: GEWEKE FORD -� Tank/: . i I SizeJProduct: --- f <br /> Year <br /> GaugiPPeriod Inventory Variations <br /> ACDE F0 nin Pe 8 ClosingDipstick Dipstick Actual AllowableFrom Reading Reading Variation Variation Variation <br /> i <br /> (C-D) Is E>F 1 <br /> Dace/Time Date/Time Inches Gallons Inches ] Gallons Gallons +/-Gallons YeSJNo <br /> 7.# <br /> • 81 �• �f I /oD �o a � + <br /> � •�/, dh ! `.� LSI `�_ J- <br /> - Alp 7. 1,A A. <br /> �- • ar S y/ - Z i yLse +/ <br /> .,_ 193 <br /> ,� Allowable variation x .01 •� , If Total is 0 --> 5 - Enter Exact Amouni. <br /> 'rank utze Total Over 5 - Enter 5 <br /> If you ;answered yea in Column G, S .J .L.H .D . Environmental Health shall be notified within <br /> 24 Fours and an Un:nith2rizc•1 Release Report Submitted within 5 days. <br /> SAN JOAQUIN LOCAL UALTH DISTRICT <br /> 1601 E . Hazelton , Stockton , CA 95205 /� � c( % �/�•+ r. , <br /> UG'P 38 10/86 466-6781 <br />