Laserfiche WebLink
QUARTEF#Y INVENTORY <br /> PORTING ; <br /> Facility Name: Tank # Size Product <br /> � � SLFacility Address: �'Ijlljkl <br /> 17 ff, <br /> City: lit r <br /> i� <br /> County: <br /> State: <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 /> Step 4 Records review from <br /> the last stable <br /> situation. <br /> JAN 9 <br /> '1 Step 5 Physical facilities <br /> inspected for leaks. <br /> ENVIRONi41ElV7n 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 /> Quarter 4— October thru December <br /> Submit by January 15 <br /> Send to (Local Agency): <br /> KEEP COPIE* THIS FORM FOR YOUR RECORDS <br /> DEAL "S GNATURE� DATE <br />