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t <br /> t � <br /> • ''� TANK CADGING SHEET <br /> taci l it :w1 (t� GQL j� C�t> Tank#: Z 'Size/Product: ( Tear: 9 <br /> Causing Period Inventory Variations <br /> A g C D E F C <br /> f : <br /> Exceed <br /> Dipstick Dipstick Actual Allowable Allowable <br /> From To Reading Reading Variation [Variation Variation i <br /> Moo Pr( d <br /> (C-D) Is E>F <br /> Date/Time Date/Time Inches Daltons inches Gallons Gallons /-Gallons Yes/No <br /> +/- <br /> 1-9 /- <br /> 6 •4 /- <br /> * Allowable Variation x .01 If Total is 0 --> 5 - Enter Exact AoounC <br /> Tank size Total Over 5 - Enter 5 <br /> If you Pnswered res in Column C, S.J.L.H.D. Environmental Health shall be notified within <br /> 24 Hours and an Unnuttlorize.t Release Report Submitted vithin 5 days. <br /> SAN JOAQUIN LOCAL hEALTH DISTRICT <br /> UGT 38 10/66 1601 E. hazelton, Stockton. CA 95205 <br /> 466-6781 <br />