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UM OWING SM W <br /> F, --�� <br /> Tank/:Z 'Sise/Product: D00 b Year: 8 <br /> Caugint Period Inventory <br /> A <br /> Variations <br /> d C p . <br /> < < C <br /> i fts-"a <br /> Di stick Exceed <br /> From p Dipstick Actual Allovabi Allowable <br /> To leading Reading variation Variation Variation <br /> Mon <br /> Date/Tive Date/Time lnchel Gallons aches Callous Gallons Is E>F <br /> Is <br /> Yes/No j <br /> -291,0 <br /> • Allowable Variation s .01 If Total is 0 --> S - Enter Enact Amount <br /> Tank at" Total- Over S - Enter S <br /> a* if you lnswercd Fes in Column C. S.J.L.H.D. Environmental Health shall be notified wstbin <br /> 26 Hours and an Unauthorize.l Release Report Subeitted within S days. <br /> SAN JOAQUIN LOCAL KEALTH DISTRICT <br /> UGr 38 10/66 1601 E. hazelton, Stockton. CA 95205 <br /> 466-6781 <br />