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' QUARTEFI.Y INVENTORY REPORTING <br /> Facility Name: -LI 1 I i / /'� /°�'c?( �J s h p , Tank # Size Product <br /> Facility Address: ��7']7 1j , /�/� / I O C(- <br /> City: <br /> rCity: MA-✓ :o &,/j <br /> County: <br /> State: CA- t 11— <br /> !lU Waste Oil <br /> These were inventory variations that I hereby certify that all product level variations <br /> LA_ exceeded the allowable limits for this <br /> quarter. ❑ for the above mentioned facility were <br /> 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 /> Date Tank# AmountStep 1 Review Records . <br /> Explanation Step 2 New reconciliation <br /> e--� ke,4, performed. <br /> �1 1-1 t DA, Step Shell Oil notified. <br /> Step 4 Records review from <br /> the last stable <br /> N'l� !amu a `S(2 ✓ situation. <br /> t( 4- S-S- Step 5 Physical facilities <br /> �1 inspected for leaks. <br /> Step 6 Dispenser meters <br /> calibrated. <br /> Step 7 Piping hydrostatically <br /> c y �c tested. <br /> Step 8 Underground storage <br /> tanks precision tested. <br /> 314 �� ✓ fes• ;,� NK• Y, r Step 9 Additional investigation <br /> as required by Shell <br /> or the local agency. <br /> 1991 This quarterly summary report <br /> ENVIRONMENTAL FI ALS 11 f cr h15 das <br /> e end o�ftted each�thin quarter. Check <br /> PERMIT/SERVIC, .,S 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 /> / Submit by January 15 <br /> Send to (Local Agency):_ - � 4 64-1 W ,-1 1 5 t` <br /> 1PA0 (j!J7 <br /> dP CpS FORM FOR YOUR RECORDS <br /> /lG�✓ 7- �-� I <br /> DEALER SIGNATURE DATE <br />