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QUARTERLY INVENTORYAEPORTIN't <br />Facility Name: <br />Facility Address: <br />City: <br />County: �,f,0 A-1 <br />State: <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 />S 1 R' R d <br />sExplanation <br />tep eview ecor s . <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 />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'Agenc <br />IS FORM FOR YOUAR <br />RDS <br />DATE <br />it <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 />S 1 R' R d <br />sExplanation <br />tep eview ecor s . <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 />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'Agenc <br />IS FORM FOR YOUAR <br />RDS <br />DATE <br />tep eview ecor s . <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 />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'Agenc <br />IS FORM FOR YOUAR <br />RDS <br />DATE <br />