Laserfiche WebLink
r QUA TER wY INVENTORY FVi"210"ORTING <br /> Tank# Size Product <br /> Facility N'dr e: ��-ryiu C?PtPA" tea` 'L- j Lf-W ' ,"Do <br /> Facility Address: CH4r24L0 <br /> City: <br /> County: SrFjV Ttr�t'c/!� <br /> State: <br /> M Waste Oil <br /> k r <br /> IV <br /> These were inventory variations that ' 199jereby certify that all product level variations <br /> ❑ exceeded the allowable limits for thisoCT for I, Ove mentioned facility were <br /> quarter. ENVIRONMENTALvtd> a towable limits for this quarter. <br /> PERMIT/SERVICE <br /> LIST DATE, TANK #t AND AMOUNT FOR ALL VARIATIONS OUT OF TOLERANCE <br /> INVESTIGATIVE STEPS <br /> THAT EXCEED THE ALLOWABLE LIMITS. <br /> Step 1 Review Records . <br /> Date Tank# Amount Explanation Step 2 New reconciliation <br /> performed. <br /> Step 3 Shell Oil notified. <br /> Step 4 Records review from <br /> the last stable <br /> situation. <br /> Step 5 Physical facilities <br /> inspected for leaks. <br /> Step 6 Dispenser meters <br /> calibrated. <br /> Step 7 Piping hydrostatically <br /> tested. <br /> Step 8 Underground storage <br /> tanks precision tested. <br /> Step 9 Additional investigation <br /> as required by Shell <br /> or the local agency. <br /> This quarterly summary report <br /> shall be submitted within 15 days <br /> after the end of each quarter. Check <br /> the quarter you are submitting <br /> ❑ Quarter 1 — January thru March <br /> Submit by April 15 <br /> ❑ Quarter 2 — April thru June <br /> Submit by July 15 <br /> ❑ Quarter 3 — July thru September <br /> Submit by October 15 <br /> ❑ <br /> Quarter 4— October thru December <br /> Submit by January 15 <br /> Send to (Local Agency): L�t <br /> Pp. Rox 20 <br /> 0J C6 957 I <br /> . <br /> KEEPCOPIES OF THIS FORM FOR YOUR REC RDS <br /> DEALER SIGNATURE DATE <br />