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'--70UARTEAY INVENTORY AEPORTINq <br />(J) <br />Facility Name: A.; <br />0 / <br />Facility Address: 12' 'kAl <br />��v g <br />City. <br />County: <br />State: <br />i") V I P, Q N M E N T A L H <br />These were inventory variations that I hereby certify that all product level variations <br />El exceeded the allowable limits for this for the above mentioned facility were <br />quarter. within allowable limits for this quarter. <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 />shall be submitted within 15 days <br />after the end of each quarter. Check <br />Fquarter you are submitting <br />Quarter I — 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 />El Quarter 4 — October thru December <br />Submit by January 15 <br />:, <br />Send to (Local Agenc1A <br />C> <br />KEE C S S FORM FOR YOU RDS <br />,17 <br />DEAL SIGNATURE DATE <br />Explanation <br />MAT M <br />CBS <br />1118IIIIIIISM111 <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 />shall be submitted within 15 days <br />after the end of each quarter. Check <br />Fquarter you are submitting <br />Quarter I — 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 />El Quarter 4 — October thru December <br />Submit by January 15 <br />:, <br />Send to (Local Agenc1A <br />C> <br />KEE C S S FORM FOR YOU RDS <br />,17 <br />DEAL SIGNATURE DATE <br />