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SAN J"�UIN COUNTY PUBLIC HEALTH -RVICES <br /> NPNVIRONMENTAI� HEALTH DIVIS <br /> 1-// f� <br /> ANNUAL INVENTORY RECONCILIATION SUMMARY REPORT <br /> California UST Regulation, Article 4, ,Section 2646 (j ) <br /> Facility Name (� M flA o/✓ <br /> Address lV 15 - CitytG <br /> All inventory variations for the above mentioned facility were <br /> within allowable limits of Title 23 , California Code of Regulations, <br /> Division 3 , Chapter 16, Sectio 2646, for the 12 month period from <br /> 19 79 to U4- 3 I9-2k . <br /> Inventory variations in excess of the allowable limits of Section <br /> 2646 , occurred as listed below. <br /> DATE TANK / PRODUCT AMOUNT (Gallons) <br /> I <br /> Submit report within 15 days following the end of the last month of the <br /> 12-month period covered by the report. Report to be submitted to: <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION '✓� -3I1d f/- PPk <br /> STOCKTON, CA / <br /> vti <br /> -'r o <br /> I certify under penalty of perjury, that all variations (if any) <br /> exceeding allowable limits are indicated above (California Health & <br /> Safety C de, Section 25299) : <br /> Facility Tank Operator/Owner Date <br /> EH 23 019 8-1-92 <br />