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/C - <br />oc� <br />/QUARTERLI INVENTORY RIPPORTING <br />ASI <br />1', cility Name—:Di") V S <br />Facility Address: ��� f= V CZ� 12 <br />City: 4� <br />County: SA Af n <i v, AJ <br />State: <br />99' <br />21 "11 <br />IdThese were inventory variations thataO ��ti.=� t I hereby certify that all product level variations <br />exceeded the allowable limits for this,�A,j �::� v;C for the above mentioned facility were <br />quarter. �t��j1� �F within allowable limits for this quarter. <br />Tank # <br />Size <br />Product <br />Explanation <br />Step 2 <br />New reconciliation <br />performed. <br />Step 3 <br />Shell Oil notified. <br />>It- <br />1d -12Y- <br />'11- <br />the last stable <br />C�1 <br />situation. <br />Step 5 <br />Physical facilities <br />inspected for leaks. <br />11-24 <br />Dispenser meters <br />Waste Oil <br />LIST DATE, TANK # AND AMOUNT FOR ALL VARIATIONS <br />THAT EXCEED THE ALLOWABLE LIMITS. <br />Date <br />Tank # <br />Amount <br />Explanation <br />Step 2 <br />New reconciliation <br />performed. <br />Step 3 <br />Shell Oil notified. <br />>It- <br />1d -12Y- <br />'11- <br />the last stable <br />C�1 <br />situation. <br />Step 5 <br />Physical facilities <br />inspected for leaks. <br />11-24 <br />Dispenser meters <br />5s <br />- <br />- <br />tested. <br />- /D <br />Underground storage <br />tanks precision tested. <br />Step 9 <br />Additional investigation <br />-• / ZY <br />as required by Shell <br />/Q.2z <br />3 <br />/oq-i74 <br />is <br />3 <br />-- /30. <br />/t � <br />a•. H <br />i <br />o n C�,f ti <br />Z <br />0 1C <br />t, o I` to rL- <br />r-27+7- <br />Gz <br />1'-a-7 <br />+2 <br />-- 4 <br />nn c..z <br />QQ <br />6 <br />1 / w <br />o,S UJ .t h ci <br />- <br />S <br />,4 r A a <br />-re <br />OUT OF TOLERANCE <br />INVESTIGATIVE STEPS <br />Step 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 />C�1 <br />situation. <br />Step 5 <br />Physical facilities <br />inspected for leaks. <br />Step 6 <br />Dispenser meters <br />calibrated. <br />Step 7 <br />Piping hydrostatically <br />tested. <br />Step 8 <br />Underground storage <br />tanks precision tested. <br />Step 9 <br />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 />CJ Submit by July 15 <br />uarter 3 — July thru September <br />6110'uarter <br />Submit by October 15 <br />4 — October thru December <br />Submit by January 15 <br />Send to (Local Agency): 5.4 Al ,Z/&a ,,,J 714 , 41, <br />KEEP COPIES OF -,THIS FORM FOR <br />DEALE SIGNATURE <br />YOUR RECORDS <br />DATE <br />A <br />