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TM`'r *V .CAI.APORN/A NpNpAT PATROL R6PO/1T MONTH/TRAR <br />PARN _ <br />LOCATjON NAMR(COOR <br />ONTHLY=GASOLINE SUMMARY <br />`BOOKINVENTORY (Gallons( <br />�-`��r'DIPSTICK READINGS (Gal/onsJ � <br />C,.�-,� . <br />On hand' first day current month (same as last i ' <br />a <br />1. Dispensed (Line A51 <br />day prerriotlsrnonO . <br />f <br />Reeeimonth-{ettach cppy o777,7777 <br />.. <br />air s <br />� �° ♦ t <br />m <br />WW <br />To ela <br />3. Difference; <br />,,. <br />TOTAL ADJUSTMENTS. FON <br />E.. <br />On ha est ay'a►rrent month (drpshckread�nyJ <br />D ' . L(jSSES (from`CHP330JY�*` <br />e <br />��x• . <br />" <br />. <br />841 <br />=A41 ? <br />s <br />1. Total meter readings !Line ®' <br />Dispen d !A3 <br />a. ., <br />2. Less total dispensed per daily. record <br />' <br />METER READINGS <br />PUMP 1 <br />PUMP 2 <br />" <br />3. Difference <br />Lest tiay current month <br />/ <br />t <br />E. DISPENSED TO NON -AREA VEHICLES <br />First da rrent <br />last day <br />month (saume as <br />07 <br />previous month) <br />® - <br />T t <br />1. Transient CHP <br />e <br />Subtotal ' <br />2. Non -CHP <br />Total Pump No',�i & 112 <br />3. Total <br />t <br />rMaNTsuse reverse r additional space is necessary <br />PURCHASED'AT COMMERCIAL " <br />F' <br />OTHER SERVICE STATIONS,4,', y <br />...� <br />.AND <br />CoMMANocR•s SIGNATURR <br />I ►ARR ;;1 s._ <br />COPi 071 Use previous editions until oepietea. <br />{e •;. �\.As..:.:. .dam i <br />:f <br />•'•+ ��?tiff - <br />' <br />>� <br />