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SAN JOAON COUNTY PUBLIC HEALTH S VICES <br />ENVIRONMENTAL HEALTH DIVISION <br />ANNUAL INVENTORY RECONCILIATION SUMMARY REPORT <br />California UST Regulations, Article 4, Section 26460) APD <br />a a <br />01, <br />Facility Name (tn 1 K S` Z4 $ <br />z2 IMKKET / o�t•u° <br />Address 1'32/ Gi)• 77/,)/uPA) "kb City 32z)�7-9A) <br />aAll inventory variations for the above mentioned facility were <br />within allowable limits of Title 23, California Code of Regulations, <br />Division 3, Chapter 16, Section 2646, for the 12 month period from <br />19 to 19 <br />Inventory variations in excess of the allowable limits of Section <br />2646, occurred as listed below. <br />DATE <br />TANK <br />/ PRODUCT <br />AMOUNT (Gallons) <br />Z — <br />QA&EAI)EO ?L -q <br /><75 <br />c"f <br />to 11 <br />�5 <br />A2ct+ <br />- <br />(APJL5g1`EI)236 <br />tA.6 t6S- <br />SE <br />eT <br />_ <br />s <br />oV <br />J c, <br />3`i' <br />�E►K �w <br />1 14- <br />C-7 <br />3— <br />e e <br />MAY <br />4 <br />ESC c. <br />2 <br />O,6 <br />Submit report within 15 days following the end of the last month of the <br />12 -month period covered by the report. Report to be submitted to: <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />P.O. BOX 2009 <br />STOCKTON, CA 95201 <br />I certify under penalty of perjury, that all variations (if any) <br />exceeding allowable limits are indicated above (California Health & <br />Safety Code, Section 25299): <br />S A FE-���2F�,-� <br />Facility Tank Operator <br />EH 23 019 8-1-92 <br />Date <br />