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QLVJtT LY ETATQffidf Of n?VFIP7M yjXXtj=LIATION <br /> STOCKTON CENTER <br /> 1804 WEST MAIN STREET <br /> 45x65-3 <br /> Si 1000 UNLEADED <br /> i <br /> QUARTER: beginning y- -� <br /> ending 6- - <br /> Daily inventory reconciliation data indicates: <br /> Inventory variations were within allowable limits. <br /> ❑ Inventory variations exceeded allowable limits. Variations were not due to <br /> an unauthorized release to the environment. Variations are listed below. <br /> Total <br /> Allowable Actual <br /> Pa Variation Variation <br /> to (Form 5-84; colusn L) (Form S-84; column I ) <br /> 1. <br /> 2. <br /> 3. <br /> a. <br /> s. <br /> 6. <br /> (Attach a separate sheet for additional days) <br /> Name of responsible individual (print) <br /> Signature of responsible individual <br /> Telephone Number (facility) <br />