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TANK CAUCINC SKEET <br /> (Alternative N8) <br /> Facility: <br /> Size/Product: <br /> Gauging Period Inventory Variations <br /> A 9 C D E <br /> P C <br /> Opening Closing Exceed <br /> Dipstick Dipstick Actual Allowable Allowable <br /> Fran To Reading - <br /> Reading Variation Narration Variation <br /> i <br /> Date/Tice Dat,/Time Inches (C-D) Is E>F <br /> gA Gallons Inches Gallons Callous +/-Gallons YealNo <br /> - <br /> + — <br /> � Allowable Variation <br /> � <br /> _ x .01 - If Total is 0 --> 5 <br /> Tank ■tie Total 0 - Enter 540 Amount <br /> Enter Over 50 - $(7 <br /> if you Answered yes in Culunn C. S.J .L:H.D. Environmental Ilealth shall be notified within <br /> 24 Hours and an UnauChorixeA Release Report Submitted within 5 days. <br /> SAN JOAQUIN LOCAL UALTH DISTRICT <br /> UCT' yy 10/86 1601 E. Hazelton , Stockton , CA 95205 <br /> 466-6781 ` <br />