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Pactltty. Tank/: Size/Product: <br /> Year: <br /> Gauging Period Inventory Variations <br /> A B C D E P C <br /> Opening Closing Exceed <br /> Dipstick Dipstick Actual Allowable Allowable <br /> From To Reading Reading Variation Variation Variation <br /> I <br /> i <br /> Ua[c/riveDate/Time Inches Gallons Inches Gallons Callous +/-Gallons Ycs/No 1 <br /> f/_ I <br /> /- <br /> " 1 <br /> Allowable Variation x .01 If Total is 0 --) 5 - Enter Exact Amount <br /> Tank stze Total Over 5 - Enter 5 <br /> "* [f you irnswered v,.s in Column C, S .J .L.H .D . Environmental Health stall be notified within <br /> 24 (lours and an llu:n1thorized Release Report Submitted within 5 days. <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E . hazelton , Stockton , CA 95205 <br /> UGr 38 10/86 466-6781 <br />