Laserfiche WebLink
SAN JOAQU COUNTY PUBLIC HEALTH SERA" CES <br /> Wi-vcONMENTAL HEALTH DIVISION <br /> ANNUAL INVENTORY RECONCILIATION SUMMARY REPORT <br /> California UST Regulations, Article 4, Section 2646 (j ) <br /> Facility Name / q�Q`�w" �/ �"7/ /UL4 -/� 1 /L <br /> Address syeo � /7Pi//i( ST • City 5/ can ' <br /> FX--11 <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 �j6, Section 2646, for the 12 onth period from <br /> 19 96 to Zkewn A7 ✓ 3/ 19 g6 . <br /> F7 <br /> Inventory variations in excess of the allowable limits of Section <br /> 2646, occurred as listed below. <br /> DATE TANK / PRODUCT AMOUNT (Gallons) <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. BOX 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, Section 25299) : <br /> &.- . - vZ' /" /yf <br /> Facility T Operator/Owner Date <br /> EH 23 019 8-1-92 <br />