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QUARTER11yiNVENTORY ff-it.PORTING <br />Facility Name: /a 6),D ILA& 7' <br />Facility Address: <br />city: C - <br />county: S <br />State, CA <br />O/These were inventory variations that <br />exceeded the allowable limits for this <br />quarter. <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 />LIST DATE, TANK # AND AMOUNT FOR ALL VARIATIONS <br />THAT EXCEED THE ALLOWABLE LIMITS. <br />OUT OF TOLERANCE <br />INVESTIGATIVE STEPS <br />Step 1 Review Records. <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 />orthelocalagency. <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 70arter 3 — July thru September <br />Submit by October 15 <br />*4�Vizqqwu 1U.,cmn!vw <br />Submit by January 15 <br />SA, Ti, A 9,, ;,, / ,5,4 m <br />Send to (Local Agency): <br />7/0C- CP <br />KEEP COPIES OF THIS FORM FOR YOUR RECORDS tk,7-;"-ALTH <br />DEALER SIG TU DATE <br />Explanation <br />WWfA <br />MINE <br />OUT OF TOLERANCE <br />INVESTIGATIVE STEPS <br />Step 1 Review Records. <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 />orthelocalagency. <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 70arter 3 — July thru September <br />Submit by October 15 <br />*4�Vizqqwu 1U.,cmn!vw <br />Submit by January 15 <br />SA, Ti, A 9,, ;,, / ,5,4 m <br />Send to (Local Agency): <br />7/0C- CP <br />KEEP COPIES OF THIS FORM FOR YOUR RECORDS tk,7-;"-ALTH <br />DEALER SIG TU DATE <br />