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t REPORTING MONTH <br />DEPARTMENT OF CALIFORNIA HiGHVMW PATROL <br />MONTHLY GASOLINE SUMMARY <br />LOCATION NAME/COVE <br />A DIPSTICK READINGS (Gallons) <br />1 On hand first day of current month /same as last day of <br />previous month)! <br />_ r <br />2. Received during month (attach copy of delivery tickets) <br />1. Last day of current month <br />3. Total (A1 +A2) <br />C(f <br />4. On hand last day of current month <br />jai f E <br />5. Dispensed 1A3 —A4) <br />2 I <br />I R METER READINGS I <br />Ir <br />BOOK INVENTORY (Gallons) <br />1. Dispensed (Line AW <br />PUMP M t <br />PUMP *2 <br />1. Last day of current month <br />C <br />tt// L 6-�'" <br />✓ <br />First day of current month (same <br />2. as last day of previous month) <br />.— <br />/ <br />3. Subtotal <br />4. Total Pump mel & x2 <br />7, <br />Ir <br />BOOK INVENTORY (Gallons) <br />1. Dispensed (Line AW <br />I-_ ' . <br />2. Dispensed (Line 84) <br />3. Difference (+or <br />D TOTAL ADJUSTMENTS FOR LOSSES <br />(From CHP 33D)� <br />.— <br />1 17 t)ISPENSED TO NON -AREA VEHICLES <br />1. Transient CHP <br />2. Non -CHP <br />3. Total <br />PURCHASED AT COMMERCIAL AND OTHER <br />.— <br />PRE PAR <br />FSERVICE STATIONS <br />'-CO MANGER'S SIGNATURE <br />} <br />CNP 23F (REV 2-77) USE PREVIOUS EDITIONS UNTIL DEPLETED USE REVERSE FOR COMMENTS �. <br />J <br />