Laserfiche WebLink
LW I <br />ANNUAL UNDERGROUND TANK INVEN7'lWVARIATION REPORT <br />REPORTING PERIOD: JAN. 1 - DEC. 31, 199 jY. • REPORT DUE FEBRUARY 15,199 <br />• FACILITY NAME AND /ADDRESS: <br />F/'P P , ✓ �; f �C B <br />• <br />TANK OWNER NAME AND ADDRESS <br />SHELL OIL COMPANY <br />P.O. BOX 4023 <br />LMS �s-� yo CONCORD, CA 94524 <br />ATTN: HS&E CLERK <br />Allowable over/short: 1 % of thruput + 130 gallons (0.01 x Thruput + 130) <br />MAIL TO: <br />For <br />For the facility and reporting year indicated above, records for all underground tanks monitored by inventory <br />reconciliation indicate that: <br />X A. All monthly inventory variations were within the allowable limits specified above. <br />❑ B. Inventory variations in excess of the allowable limits have occurred. in the amounts and months as <br />TOTAL ALLOWABLE OVER/.SHORT <br />BY MONTH <br />PRODUCT <br />SIZE <br />JAN <br />FEB <br />MARgAPRMAY <br />JUN <br />JUL <br />AUG <br />SEP <br />OCT <br />NOV <br />DEC <br />e <br />dy <br />-� <br />d 6y <br />�; <br />7a <br />log <br />1d a <br />d�' <br />d � <br />3/ <br />3i� <br />�9 <br />3s9 <br />3a6 <br />S51 <br />35 <br />33 <br />3 Y 3 <br />3h' <br />1 <br />367 <br />3 <br />--7 <br />?s - <br />NOTE: Only report variations which <br />have exceeded the allowable <br />over/short <br />for <br />month. <br />For <br />For the facility and reporting year indicated above, records for all underground tanks monitored by inventory <br />reconciliation indicate that: <br />X A. All monthly inventory variations were within the allowable limits specified above. <br />❑ B. Inventory variations in excess of the allowable limits have occurred. in the amounts and months as <br />EXPLANATION/INVESTIGATION PROCEDURES FOR ABOVE VARIATIONS: <br />• ertify, unde penalty of duty, that the foregoing information is accurate. <br />,,vxa-i � �� �i,�-' ► rte► _ � — � ;�' -= � � <br />Signature of perator Printed Name and Title Date <br />Original - UST Agency 0 Canary - Operator's Copy 0 Pink - Shell Oil Company <br />- <br />- <br />IN <br />- <br />-=CM®® <br />MMMMUM <br />NOTE: Only report variations which <br />have exceeded the allowable <br />over/short <br />for <br />month. <br />EXPLANATION/INVESTIGATION PROCEDURES FOR ABOVE VARIATIONS: <br />• ertify, unde penalty of duty, that the foregoing information is accurate. <br />,,vxa-i � �� �i,�-' ► rte► _ � — � ;�' -= � � <br />Signature of perator Printed Name and Title Date <br />Original - UST Agency 0 Canary - Operator's Copy 0 Pink - Shell Oil Company <br />