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usA LISA 6ASuLIne cuwumnun <br /> £" bm 30101 Agoura Court, Ste. 200,Agoura Hills, CA 91301-4311 <br /> (818)865-9200 FAX (818)865-0092 <br /> INVENTORY RECONCILIATION <br /> ANNUALLY STATEMENT OF COMPLIANCE <br /> Cal. Admin. Code, Title 26, Section 23-2644(e) <br /> Facility Name: <br /> Facility Address: <br /> gsa14� <br /> Annual Period: _ 3 <br /> Check One: <br /> �f I hereby certify under penalty of perjury that all inventory variations for the <br /> 13�I above-referenced facility were within allowable limits at all times during this <br /> annual period. <br /> Original measurements of inventory variations exceeded allowable limits on <br /> ❑ one or more occasions during this annual period. I hereby certify under <br /> penalty of perjury that the source for the excessive variation was not due <br /> to an unauthorized leak or release, but was due to a measurement error <br /> which was promptly reconciled as set forth in the attached documents. <br /> Date: t3 QCS USA GASOLINE CORPORATION <br /> By: <br /> Title: <br /> ira oc <br />