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0HPARTM6NT OF CALIFORNIA HIGHWAY PATROL. <br />MONTHLY GASOLINE SUMMARY <br />A. DIPSTICK READINGS (G <br />On hand first day current month (same as last <br />1' day previous month) <br />Received during month (attach copy of <br />2' delivery tickets) <br />3. Totals (A1 +A2) <br />4. On hand last day current month (dipstickreading) <br />5. Dispensed (A3 —A4) <br />B. METER <br />1. Last day current month <br />First day current <br />2. month (same as last day <br />Previous month) <br />3. Subtotal <br />4, Total Pump No. 1 & 2 <br />COMMiNTs use reverse A <br />PR6PARRD BY <br />CHP 33F (Rev 11-85) OPI 071 <br />READINGS <br />PUMP 1 <br />space <br />R4POR4 MONTH/VICAR! II.00ATIoN NAME/C001 <br />PUMP 2 <br />C. BOOK INVENTOI <br />> 1. Dispensed (Line A5) <br />2. Dispensed (Line 84) <br />v 3. Difference <br />3 D TOTAL ADJUSTMENTS FOR <br />LOSSES (From CHP 33D) <br />i�1. Total meter readings (Line 84) <br />2. Less total dispensed per daily record <br />> 3. Difference +1�� <br />/� E• DISPENSED TO NON -A <br />1. Transient CHP <br />P <br />Non•CHPTotal <br />PURCHASED MERCIAI ND Os HE 1 5V NA uR ERV E ATION <br />Use previous editions until depleted. <br />�S <br />Y (Gallons) <br />Y <br />I <br />t <br />READINGS <br />PUMP 1 <br />space <br />R4POR4 MONTH/VICAR! II.00ATIoN NAME/C001 <br />PUMP 2 <br />C. BOOK INVENTOI <br />> 1. Dispensed (Line A5) <br />2. Dispensed (Line 84) <br />v 3. Difference <br />3 D TOTAL ADJUSTMENTS FOR <br />LOSSES (From CHP 33D) <br />i�1. Total meter readings (Line 84) <br />2. Less total dispensed per daily record <br />> 3. Difference +1�� <br />/� E• DISPENSED TO NON -A <br />1. Transient CHP <br />P <br />Non•CHPTotal <br />PURCHASED MERCIAI ND Os HE 1 5V NA uR ERV E ATION <br />Use previous editions until depleted. <br />�S <br />Y (Gallons) <br />o � <br />t <br />__ZZ9 <br />' <br />tEA VEHICLES <br />6 4 <br />J} - C/) <br />C .. . <br />CD <br />