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% 0 0 <br /> ANNUAL UNDERGROUND TANK INVENTORY <br /> VARIATION <br /> Ey y7NG PERIOD. <br /> RIO . JA . y -DEC. 31, 199 <br /> • REPORT DUE FEBRUARY q5, y7FACILITY <br /> NA E AN7 ADDRESS: TANK OWNER NAME AND ADDRESS MAIL TO: <br /> XL I _ SHELL OIL COMPANY <br /> P.O. BOX 4023 f (� <br /> l CONCORD, CA 94524 <br /> ATTN: HSE CLERK <br /> Allowable over/short: 1% of thruput + 130 gallons (0.01 x Thruput + 130) R <br /> TOTAL ALLOWABLE OVER/SHORT BY MONTH <br /> PRODUCT SIZE JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC <br /> E <br /> ® l <br /> For the facility and reporting year indicated above, records for all underground tanks monitored by inventory <br /> eeonciliation indicate that: <br /> ' 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 /> indicated below. ACTUAL TOTAL OVER/SHORT BY MONTH <br /> PRODUCT JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC <br /> • • - . • • . - . . . <br /> EXPLANATION/INVESTIGATION PROCEDURES FOR ABOVE VARIATIONS: <br /> I c i , u er p al of ry, that the regoing information is accurate. <br /> Signature of Operator Printed Name and Title Date <br /> Original- UST Agency Canary- Operator's Copy • Pink -Shell Oil Company <br />