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co <br />QUARTEFO.Y INVENTORY OEPORTINJ- <br />Facility Name: <br />J acility Address:,:f6L/ <br />City: Rl'OvAl r <br />County: <br />State: <br />Pl0 <br />These were inventory variations that --,!.- <br />El exceeded the allowable limits for this� <br />quarter. <br />, 91*1&� <br />ROY,", :114;114 Jills <br />Date Tank # Amount Explanation <br />,,,Tbereby certify that all product level variations <br />for the above mentioned facility were <br />within allowable limits for this quarter. <br />ep 1 <br />Review Records. <br />Step 2 <br />New reconciliation <br />performed. <br />Step 3 <br />Shell Oil notified. <br />Step 4 <br />Records review from <br />the last stable <br />situation. <br />OWN M-0 <br />,,,Tbereby certify that all product level variations <br />for the above mentioned facility were <br />within allowable limits for this quarter. <br />ep 1 <br />Review Records. <br />Step 2 <br />New reconciliation <br />performed. <br />Step 3 <br />Shell Oil notified. <br />Step 4 <br />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 />El Quarter 3 — July thru September <br />Submit by October 15 <br />-L-Fo—uarter 4 October thru December <br />Submit by January 15 <br />7 <br />Send to (Local Agency):,:S!.,,,, <br />KEEP COME9UT ORM FOR YOUR R RDS <br />MMNATURE DATE <br />1111111111111 1 , . <br />