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t <br /> • ••^�' TANK GAUCING SHEET <br /> t <br /> � ira c i l i t : Cl'1 1D <br /> C.,A TrATanki:' 'Size/Product: I b0O <br /> Year: <br /> Causing Period Inventory Variations <br /> A B C D E <br /> P C <br /> + �+� t <br /> Exceed <br /> Dipstick Dipstick Actual Allowable Allowable <br /> From To Reading Reading Variation Variation Variation <br /> t <br /> Won art <br /> Date/Time Date/Time Inches Gal lgns Inches Callous Callous Is E>F <br /> /-Gallons Yes/No i <br /> 10 <br /> /- <br /> I ( o /- <br /> f Allowable Variation x .01 If Total is O --> S - Enter Exact Amount <br /> Tonic site Total Over 5 - Enter 5 <br /> If you pnswercd res in Column C, S.J.L.H.D. Environs+ental Health shall be notified within <br /> 24 Hours and an Unauthorize•1 Release Report Submitted within 5 days. <br /> SAN JOAQUI14 LOCAL KLALTH DISTRICT <br /> UGT 38 10/66 1601 E . hazelton, Stockton, CA 95205 <br /> 466-6781 <br />