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_i-13-1995 03:23PM FRO T!.; • r-=:1r� P ;-1I <br /> SAN aOAQUIN COUNTY PUBLIC_" HEALTH ERVICES.T <br /> ENVIRONMENTAL HEALT b1V TSI014 <br /> 1 ANNUAL INVEiN'TORY RECONCILIATION SUNMARY REPbtTj <br /> California UST Regulations, Article 4 , Sect-ion 2640 ��o <br /> k'acZ1.7.ty Name: <br /> Address <br /> Ciiy <br /> All inveVtory variations for the above mentioned fac-.-1 ; ty were. <br /> wi whin allowable limits of Title, 23 , C#� L.fa :.a_a ^t35 � ��� Regalati ans, <br /> i . visions .3 , Chapter 16, Section 2646, for rhe mcn'��h period from <br /> Inventory variations in excess of the a' lowable -1-ini t sof Se01-i.an <br /> ----} 2646, occurred as listed below. <br /> � DATE ! TANK # / PRODUCT I AMOUNT (Canons) <br /> —•----- <br /> P � <br /> 'iif -__ <br /> F _ . <br /> 7 <br /> i <br /> i <br /> I <br /> Submi ;Deport within 15 days fallowing thn end of the I ast: moth of the <br /> 1.2-month period covered by the report. Report t:cj be submitted to: <br /> SAN a0AQUIN COUNTY PUBI][C HP-N xT4 5'PRVTCES <br /> ENV IR0NXBNn-'AT, HEALTH .DIC N"I SION <br /> P10. PDX 368 <br /> STOCKTOI1, CA 95ZOI-0388 <br /> T Ce-; tif'y under penalty of perjurer, that a-11 variations (i.f any) <br /> ,exceeding alloyable limits are indi c.ated above (California Health & <br /> Sat`et,,,P Code, Section 25293) <br /> Fa.ci1_ity and ator/Owner Da',I <br /># EH 23 019 8-1-92 <br /> y <br /> T0TAL- P.01 <br />