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QUA <br />F#Y INVENTORY *.PORTING <br />'�)rMWS SLLL <br />Step 1 <br />Facility Name: 7y1Aee_w2__,::j <br />Step 2 <br />11 ) <br />2 ZQ Z�� <br />12 d - <br />Facility Address: �E <br />Step 3 <br />Shell Oil notified. <br />City <br />q Z_ <br />OX�ty• <br />the last stable <br />&7 <br />situation. <br />Step 5 <br />Physical facilities <br />inspected for leaks. <br />Noi <br />Dispenser meters <br />These were inventory variations that <br />calibrated. <br />❑ exceeded the allowable limits for this <br />Piping hydrostatically <br />quarter. <br />tested. <br />FA <br />—1 <br />0 <br />I j 0 s- , , i , 0 <br />1 1! Y-114 111114AM44 bill 1� I:W_11 14 IL01,111-11:1 14 =1111 4 16 11 <br />I hereby certify that all product level variations <br />F1 for the above mentioned facility were <br />within allowable limits for this quarter. <br />INVESTIGATIVE STEPS <br />Step 1 <br />r <br />"MR. M Explanation <br />Step 2 <br />New reconciliation <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 />VIII <br />Dispenser meters <br />calibrated. <br />Step 7 <br />Piping hydrostatically <br />tested. <br />Step 8 <br />Underground storag- <br />• • <br />precision tested. <br />Step 9 <br />Additional investigation <br />as required by Shell <br />or the local agency. <br />INVESTIGATIVE STEPS <br />Step 1 <br />Review Records. <br />Step 2 <br />New reconciliation <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 storag- <br />• • <br />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 />rQ <br />ou are submitting <br />arter 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 Septem•- <br />• ": <br />ebmit by October 15 <br />El Quarter 4 —October thru December <br />000MIT cy OR" <br />Send to (Local Agency. A,�._, <br />A/I <br />'Ic n <br />YOUR RECORDS <br />DEALER SIGNATURE DATE <br />