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t <br /> • ""' TANK GAUCINC SKEET <br /> i <br /> I i • <br /> t <br /> laci l i[ YV► I t� CSL i/A�p►'L Tankl: 2 size/Produ tc Oda (7 <br /> Year: <br /> Gauging Period inventory Variations <br /> A B C D E F <br /> C <br /> Exceed <br /> Dipstick Dipstick Actual Allowable Allowable <br /> From To Reading Reading Variation Variation Variation <br /> {NI <br /> on � <br /> (C-D) Is E>F <br /> -Date/Time DatelTime Inches Gallons nches Gallons Gallons +/-Gallons Yes/No <br /> Z 7. <br /> /- <br /> 2110 <br /> /- -1 <br /> t <br /> * Allowable Variation x .01 If Total is 0 --> 5 - Enter Exact AmUunt <br /> Tank size Total Over 5 - Enter 5 <br /> ** If you Answered res in Column C, S.J.L.H.D. Environmental Health shall be notified within <br /> 24 Hours and an Una uthorize.i Release Report Submitted within 5 days. <br /> SAN JOAQUI14 LOCAL hEALTH DISTRICT . <br /> UGT 38 10/86 1601 E. hazelton, Stockton, CA 95205 <br /> 466-6781 <br />