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! - w TM CAUCING S jn <br /> i - <br /> taci 1 i t : rn 1 D CAL, 7(F}LTC� Taniti: 2J 'Sire/Product: c)w tear: <br /> Cauging Period Inventory Variations <br /> A s C D t P C <br /> « o +"6 Exceed <br /> Dipstick Dipstick Actual Allowable Al lovable <br /> FrOm To leading Reading Variation Variation Variation <br /> r � �,c 1✓\ r r 1 <br /> Date/Ti�oe CC-D) Is E>F <br /> Date/Time Inches Callous Inches Callous Callous /-Callous Yes/No 1 <br /> • Allowable Variation : .O1 If Total is 0 --> S - Enter Exact Amount <br /> Tank sizeTot— al Over S - Enter S <br /> •* if you Answered res in Column C. S.J.L.H.D. Environmental !Health shall be notified within <br /> 24 Hours and an Unauttlorise.i Release Report Submitted within 5 days. <br /> SAN JOAQUIN LOCAL KEALTN DISTRICT <br /> UGr 38 10/66 1601 E. hazelton, Stockton, CA 95205 <br /> 466-6781 <br />