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ij <br />4 <br />I a <br />Chevron <br />Chevron U.S.A. Inc. <br />Product Tank Monitoring (Loss/Gain) <br />ChevronvFocility Number <br />Tank Site <br />--- — <br />• Wruvurrnuent £nor lank Capacity Allowable £mr <br />4.000 or kss - 26 golkvas <br />4.000 to 8,000 = 50 gallms <br />8,000 to 11,000 = 75 gallons <br />12W0 or more = 100 go&ris <br />Address <br />Check One: El steel El Fibuiposs <br />— <br />Product <br />_ <br />Chea One: ❑ snilie Wry n Double Wall <br />month <br />1 2 3 4 <br />5 <br />6 <br />7 <br />8 <br />lhroughpuf <br />£nor <br />(CaA/nn 6 <br />s.W15'b) <br />9 <br />10 <br />_ 11 <br />12 <br />13 <br />Opening inventory Add told Closing Inventory <br />��s (ial10119 (�Okwnn7 Plodrat W01d ��s <br />less Received It2=3) inches Inches leu <br />Water Water <br />To Account <br />for <br />(Cokrmas <br />}4=5) <br />kletered <br />Sales <br />Vwualian <br />(6duans <br />6-5=7 <br />—_--- <br />Nrasuremerul <br />Etta <br />•(� AbovC) <br />- Allowable <br />Vorglan <br />(Coluams <br />8t9=10) <br />Did Column 7 <br />Exceed <br />Colum 10 <br />Yes/No <br />Chevron <br />h7ip Kesk) <br />(Tp ��) <br />lbnthly Summary old CCl1IK0I1a11 <br />1 <br />_ <br />_ <br />I hereby certify under penally of perpry that os <br />inventory vvrblions for the duove mentmed facility <br />were within allowable (mils fa this month. <br />(_� inventory variations exceeded the olowoble limits <br />la this moolh. I Hereby certify under penalty of <br />perjury that the case of the variation was not on <br />unauthorized release/leak. <br />List data and amount of wriolans that exceeded the allowable (mils: <br />[bre Voralfon <br />1 <br />4. <br />5. <br />Addifionall doles/omamts shall be continued on a separate sheet. <br />Garments <br />2 <br />— <br />-- <br />3 <br />- <br />4 <br />5 <br />6 <br />—__ <br />- <br />7 <br />8 <br />9 <br />--- <br />— <br />10 <br />12 <br />13 <br />14 <br />15 <br />16 <br />— <br />17 <br />18 <br />— _ <br />_ <br />19 <br />20 <br />21 <br />1_ <br />— <br />22 <br />-- <br />-- <br />23 <br />24 <br />25 <br />26 <br />of this lam. <br />27 <br />28 <br />29 <br />-- <br />- <br />— <br />30 <br />--- <br />-- <br />31 <br />Ilunlhs-- <br />Iulul <br />- Aluntlis _. <br />laid <br />- <br />^+PLL <br />- thevrun pwviJes <br />Ilea version <br />- <br />— <br />--- <br />--------------- <br />