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'QUARTE INVENTORY PORfIN4 <br />Facility Name: <br />Facility Address: <br />city <br />County: !SP,,j <br />State: <br />These were inventory variations that <br />19 exceeded the allowable limits for this <br />quarter. <br />11,219 W.(Oi:l =1 e01YI-1:1 1R:8 4 1 11 t: <br />l-ftereby certify that all product level variations <br />it <br />Rm for the above mentioned facility were <br />within allowable limits for this quarter. <br />Send to (Local Aaencv): <br />OUT OF TOLERANCE <br />INVESTIGATIVE STEPS <br />Step 1 <br />Explanation <br />Step 2 <br />New reconciliation <br />performed. <br />Step 3 <br />Shell Oil noed. <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 />law <br />Step 9 <br />Additional investigation <br />as required by Shell <br />or the local agency. <br />Send to (Local Aaencv): <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 noed. <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 />Quarter 1 — January thru March <br />Submit by April 15 <br />El Quarter 2 — April thru June <br />Submit by July 15 <br />Quarter 3 — July thru September <br />Submit by October 15 <br />El Quarter 4 — October th ru December <br />Submit by January 15 <br />KEEP COPIES OF THIS FORM FOR YOUR RECORDS <br />DEALE2 SIGWffid'E DATE <br />