Laserfiche WebLink
•� SAN JoAqiKN, COUNTY PUBLIC H ACTH SEB' CES <br />F..OKMENTAL HEALTH DIVISION <br />i -j-h ANNUAL INVENTORY RECONCILIATION SUMMARY REPORT <br />California UST Regulations, Article 4, Section 2646(j) <br />iI,F j'-, Ali 1: 59 <br />Facility Name <br />Address L <br />CityC C <br />21 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, Section 2646, for the 12 month period from <br />(s.''-) -K-/ 19 7-3 to 19 `7,3 . <br />Inventory F7variations in excess of the allowable limits of Section <br />2646, occurred as listed below. <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 <br />P.O. Bog 2009 <br />STOCKTON, 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, Segtion 25299): <br />Facility Tank Operator/Owner <br />EH 23 019 3-1-92 <br />.% <br />Date <br />