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QUARTERINVENTORY IMPORTING <br /> M � I I Tank# Size Product <br /> Facility Name: I n ��l�J S I ) ,. <br /> Facility Address: (C�( � Iv4hl <br /> City: MAN =C19 OA . 2E 33 <br /> s';: : `�'. _ <br /> County: ":�Ary \ 1 bRQ Ji 1\1 <br /> State: S#A�T� �h331� <br /> Waste Oil <br /> These were inventory variations that I hereby certify that all product level variations <br /> exceeded the allowable limits for this ❑ for the above mentioned facility were <br /> quarter. within allowable limits for this quarter. <br /> LIST DATE, TANK # AND AMOUNT FOR ALL VARIATIONS OUT OF TOLERANCE <br /> THAT EXCEED THE ALLOWABLE LIMITS. INVESTIGATIVE STEPS <br /> Step 1 Review Records . <br /> Date Tank# Amount Explanation Step 2 New reconciliation <br /> performed. <br /> Step 3 Shell Oil notified. <br /> c 1 Step 4 Records review from <br /> the last stable <br /> II situation. <br /> t� iV�°ril Step 5 Physical facilities <br /> inspected for leaks. <br /> a Step 6 ibrmeters <br /> calated <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 /> Quarter 4— October thru December <br /> ubmit by January 15 <br /> Send to (Local Agency): 11 c���, (S I _ <br /> f <br /> KEEP PIES OF THIS FORM FOR YOUR �E7RDS <br /> r� DEALER SIGNATURE - DATE <br />