ࡱ>    !"#$%&'()*+,-./0123456789:;<>Root EntryF =@PerfectOffice_MAIN& uSummaryInformation(4PerfectOffice_OBJECTS,X #$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~iOwner ID:3qKansas Department of Health and Environment30-Day Inventory Record `for the Month of:YFacility Name:YFacility Address: Date of Water Check:      Date?@@@@@@ @"@$@&@(@*@,@.@0@ 1@!2@"3@#4@$5@%6@&7@'8@(9@):@*;@+<@,=@->@.?@ 0@ 1@ 2@3Leak Check Calculation: 4@ 5@6Leak Check Result= 7@       StartInventory!(Gallons)  !"#$%&'()*+,-. 0@ 1@ 2@ 3@ 4@ 5@ 6 7@Facility ID:   a(street)    Gallons!Delivered                  ! " # $ % & ' ( ) * + , - .0Total: 1@ 2@ 3@ 4@ 5@26M!PassFail;36IPassssD7cLM7/3$ ArialZ3LZ3$ArialZ3LZ3$ ArialZ3LZ3$ArialZ3LZ3$ ArialZ3LZ3$ArialZ3LZ3$ ArialZ3LZ3$ArialZ3LZ3@ Normal Comma Comma0 CurrencyCurrency0 Date FixedHeading 1 Heading 2 Percent Total0~33@ R033@ P033@ 2033@ 0033@  033@ 033@ 0 33@ 0 33@ B033@ 033D 0 33@ 0 33@ 0 33@ 0@0D 0@33D 033D 033D 033D 033D 033D 033D 0=33D 0133D 033D 0@(33D 0033@ 0 33@ 0033@ 0033@ 0833D 0833D 0833D 0833D 0833D 0833D 0=833D 01833D 0833D 0 33@ 0(33D 0(33D 0033@ 0 33@ 0033@ 0(33D 0(33D 0033@ 0@33D 0@833D 0@833D 0@ 33D 0033@ 0033@ 0@0D dBY!_d<  ? a($$  A   ?       wY@W swW H H H (p lwwwwwwwwgt?ww@ H H H (p lwwwwwwwGpY@W swW X H X p lwwwwwwwwwwwwwwwwwwwwwwww>>w7 7 wwwwgpQpvww7 7 wwwwg!pQpvwwwwwwwG!pQpvwwwwwwwwwwwwwwww'!pQpvwgpwwwww lwwwwwH(%pww lww'ww'///////////////////o8pwww7|*`*``۞s.YAqwwwG!pQpvwg"x ZZuwxzxZ r'| z|sx|'OjUEhHZ HZ XMLhJ LLH OOh |wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwڂ*'""" "    $ $       Tq  d2X, X1Axis?  Ts  d2X, Y1Axis?   Tt  d2X, Y2Axis?  }j  d2X, 1PaneLeftWallRightWallBaseSeriesSeriesLabel?   Ym  d2X,  X1Title?  <Yo  d2X,  Y1Title?  ؔ<Yp  d2X,  Y2Title?  <Tl  d2X, Legend?  }Z   Title? $ArialArial "]Z  %&'( 880P  X$ ArialZLZ$ ArialZLZ  LB  %&'( 0d  $ ArialZLZ$ ArialZLZ  B           ^  ddư>   ?&  Mb@?   #       f  g    i2      -./g  0d    "04TwH";"6 Blank Form$u<7~8`7SS %07%ͅ΄D 077777777  !"ontact your local KDHE District Office as soon as possible.  x       Gallons!Pumped                  ! " # $ % & ' ( ) * + , - .x"0UP1Gallons2Pumped31% times 4@ 5@=6If the result is "Fail" for 2 months in a row, please 7@     Level of Water (Inches):    BookInventory!(Gallons),  ,  ,  ,  ,  ,  ,  ,  ,  ,  ,  ,  ,  ,  ,  ,  ,   ,!  ,"  ,#  ,$  ,%  ,&  ,'  ,(  ,)  ,*  ,+  ,,  ,-  ,.   0@ 1@ 2@3U4Gallons5Pumped 6@ 7@Tank number: Year:  i(city)    EndInventory!(Gallons) p p                ! " # $ % &p 'p (p )p *p +p ,p -p .p0Total: 1@ 2@3+ 130 gallons = 4@ 5@ 6@ 7@       )Daily Over (+) 1or Short (-)1[End - Book]9(Gallons)$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $  $! $" $# $$ $% $& $' $( $) $* $+ $, $- $. "0UP1Daily Over (+)2or Short (-)*3U@`@{Gz?  4Daily Over (+)5or Short (-) 6@ 7@ ` `  `  `  `  `  ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` `  ` !` "` #` $` %` &` '` (` )` *` +` ,` -` .` /` 0` 1` 2` 3` 4` 5` 6` 7` 8` 9` :` ;` <` =` >` ?` @` A` B` C` D` E` F` G` H` I` J` K` L` M` N` O` P` Q` R` S` T` U` V` W` X` Y` Z` [` \` ]` ^` _` `` a` b` c` d` e` f` g` h` i` j` k` l` m` n` o` p` q` r` s` t` u` v` w` x` y` z` {` |` }` ~` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` `$u<7~7S%S %07%΄D 077777777  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~iOwner ID:3qKansas Department of Health and Environment9qUnderground Storage Tank Monthly Inventory Record `for the Month of:YFacility Name:YFacility Address: Date of Water Check:      Date?@@@@@@ @"@$@&@(@*@,@.@0@ 1@!2@"3@#4@$5@%6@&7@'8@(9@):@*;@+<@,=@->@.?@ 0@ 1@ 2@3Leak Check Calculation: 4@ 5@6Leak Check Result= 7@       StartInventory!(Gallons) @@ a@!a@"`@#=@$@&'()*+,-. 0@ 1@ 2@ 3@ 4@ 5@ 6 7@ ` yMarch  a(street)     Gallons!Delivered                  ! " # $ % & ' ( ) * + , - .0Total: 1@ 2@ 3@ 4@ 5@26M!PassFail;36IPassssD7contact your local KDHE District Office as soon as possible.qFacility ID: x       Gallons!Pumped               E@  !?"A@#B@ $ % & ' ( ) * + , - ."0U\@P1Gallons2Pumped31% times 4@ 5@=6If the result is "Fail" for 2 months in a row, please 7@      Level of Water (Inches):    BookInventory!(Gallons),  ,  ,  ,  ,  ,  ,  ,  ,  ,  ,  ,  ,  ,  ,@  ,a@  , a@  ,!`@  ,"=@  ,#@  ,$@  ,%  ,&  ,'  ,(  ,)  ,*  ,+  ,,  ,-  ,.   0@ 1@ 2@3U\@4Gallons5Pumped 6@ 7@ ` Year:  i(city)    EndInventory!(Gallons)              @a@ a@!`@"=@#@$@ % & ' ( ) * + , - .0Total: 1@ 2@3+ 130 gallons = 4@ 5@ 6@ 7@ `D@     )Daily Over (+) 1or Short (-)1[End - Book]9(Gallons)$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $  $! $" $# $$ $% $& $' $( $) $* $+ $, $- $. "0UP1Daily Over (+)2or Short (-)*3Ud`@{Gz?  4Daily Over (+)5or Short (-) 6@ 7@ ` `  `  `  `  `  ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` `  ` !` "` #` $` %` &` '` (` )` *` +` ,` -` .` /` 0` 1` 2` 3` 4` 5` 6` 7` 8` 9` :` ;` <` =` >` ?` @` A` B` C` D` E` F` G` H` I` J` K` L` M` N` O` P` Q` R` S` T` U` V` W` X` Y` Z` [` \` ]` ^` _` `` a` b` c` d` e` f` g` h` i` j` k` l` m` n` o` p` q` r` s` t` u` v` w` x` y` z` {` |` }` ~` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` ` `$u<7~@7$u<7~17$u<7~0A7$u<7~>7$u<7~87$u<7~X?7$u<7~H$7 $u<7~B7  $u<7~$7  $u<7~=7  $u<7~dZ7  $u<7~7 $u<7~ 7$u<7~97$u<7~7( dd<>!Oh+'0 `lx C\MPomesLe jrozwickE3v@-@aKQuattro Pro for Windows 7H      Pro\8\Group14Group1$C:\MyFiMj":