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QUARTERLI INVENTORY REPORTING <br />•Facility Name: fj S <br />Facility Address:- <br />City: <br />County: sd zLt';,-3 <br />State: Gi-. <br />APR 27"^ <br />These were inventory <br />exceeded the allowable <br />quarter. <br />Tank # <br />Size <br />Product <br />I <br />1200r, <br />/(�U <br />I Z OOO <br />iJ <br />3I <br />2 00v <br />12 dV <br />Oi�S�t <br />2-� <br />f <br />trio <br />Waste Oil <br />variations tVIRONMENT y certify that all product level variations <br />limits #ort Hfh�tlh@ above mentioned facility were <br />PERMIT/SERVIC)FAhin allowable limits for this quarter. <br />LIST DATE, TANK #k AND AMOUNT FOR ALL VARIATIONS <br />THAT EXCEED THE ALLOWABLE LIMITS. <br />Date <br />Tank # <br />Amount <br />Explanation <br />)cie <br />2-� <br />f <br />trio <br />2 ' <br />IZ <br />2 l� <br />q <br />5 i <br />3 <br />-163 <br />• Send to (Local Agency): <br />OUT OF TOLERANCE <br />INVESTIGATIVE STEPS <br />Step 1 Review Records. <br />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 />shad 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 />YOUR RECORDS <br />DATE <br />