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SAN T0AQU4ftKaNTV. PUBLIC HEALTH SERVO <br />ANNUAL INxT,.MORY RECONCILIATION SUMARY R�oRT <br />California UST Regulations, Article 4, Section 2646(j.}:.. <br />Facility Name Q <br />Address � city <br />aAll inventory variations for the above mentioned facility were <br />within allowable limits of Title 23, California Code of Regu -tions, <br />Division 3, Chapter 16, Section 2646, for the 12 month period from <br />`� 19to _ YYI()( L\'y 1S- 19_2A . . <br />Inventory variations in excess of the allowable limits of Section <br />2646, occurred as listed below. <br />Submit report within 15 days following the and of the last month of the <br />12 -month period covered by the report. Report to be submitted to: <br />SAN MAQUIN COUNTY PUBLIC MM Tg SZ RVXcZS <br />EN7IRONiCENTAL NZALTR D=SXON <br />P.O. BOX 2009 <br />STOCCXTOUt CA 95201 <br />I certify under penalty of perjury, that all variations (if any) <br />exceeding allowable limits are indicated above (California Health <br />Safety Code, Section 25299): <br />ISS t 3� 16 4G� <br />Facility Tank Operator/Owner Date <br />EH 23 019 8-1-92 <br />