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tUARTEF#Y INVENTORY REPORTING <br />Facility Name: <br />Facility Address: <br />City: S706� -715N <br />County: <br />State* 61*( LX I <br />These were inventory variations that <br />exceeded the allowable limits for this <br />quarter. <br />k ffil i A ffi, <br />11 <br />I hereby certify that all product level variations <br />El for the above mentioned facility were <br />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 />logo A <br />Explanation <br />Step 4 <br />Records review from <br />the last stable <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 />M11101111 <br />tanks precision tested. <br />MOP <br />Additional investigation <br />as required by Shell <br />or the local agency. <br />OUT OF TOLERANCE <br />INVESTIGATIVE STEPS <br />Step 1 Review Records. <br />Step 2 New reconciliation <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 />El Quarter 1 — January thru March <br />Submit by April 15 <br />El Quarter 2 — April thru June <br />Submit by July 15 <br />El Quarter 3 — July thru Septemb- <br />• r <br />bmit by October 15 <br />11z-WwrA& <br />Submit by January 15 <br />Send to (Local Agency): <br />KE P COPIES OF THIS IJORM FOR YOUR RECORDS <br />Z 7, <br />J <br />ar" I A <br />[DEALER DATE <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 <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 />El Quarter 1 — January thru March <br />Submit by April 15 <br />El Quarter 2 — April thru June <br />Submit by July 15 <br />El Quarter 3 — July thru Septemb- <br />• r <br />bmit by October 15 <br />11z-WwrA& <br />Submit by January 15 <br />Send to (Local Agency): <br />KE P COPIES OF THIS IJORM FOR YOUR RECORDS <br />Z 7, <br />J <br />ar" I A <br />[DEALER DATE <br />