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CLbUARTERO1( INVENTORY &PORTING <br />Facility Name: __ l3" r,.c Etta <br />Facility Address: 23-)syi. 6.int <br />City: ' 1" ' <br />County: SA,-) �MjNa IJ <br />State: CA <br />These were inventory variations that <br />exceeded the allowable limits for this <br />quarter. <br />Tank # <br />Size <br />Product <br />I <br />iZ QOC <br />:S U <br />Z_ <br />12, o <br />Step 4 <br />3 <br />i2- <br />5 <br />Ll -19 <br />Ll <br />�-5 S <br />Additional investigation <br />_, <br />as required by Shell <br />b <br />14 <br />Waste Oi I <br />I hereby certify that all product level variations <br />❑ 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 />Date <br />Tank # <br />Amount <br />Explanation <br />Ll—N <br />Z <br />fi <br />Shell Oil notified. <br />Step 4 <br />Records review from <br />Step 8 <br />the last stable <br />Ll -19 <br />Ll <br />�-5 S <br />Additional investigation <br />_, <br />as required by Shell <br />b <br />14 <br />1 Ito" W 177 <br />t1321 <br />JUL Z4 j9F2__ <br />ENV!R 0NMENTAL HEALT <br />27 <br />3 <br />�s3 <br />Send to (Local Agency): <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 notified. <br />Step 4 <br />Records review from <br />Step 8 <br />the last stable <br />situation. <br />Step 5 Physical facilities <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 />❑ Quarter 3 — July thru September <br />Submit by October 15 <br />❑ Quarter 4 —October thru December <br />Submit by January 15 <br />K P PI S 'HISF013M FOR YOUR RECORDS <br />=iZ-- <br />DEAL R SIGNATURE DATE <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 />Quarter 2 — April thru June <br />Submit by July 15 <br />❑ Quarter 3 — July thru September <br />Submit by October 15 <br />❑ Quarter 4 —October thru December <br />Submit by January 15 <br />K P PI S 'HISF013M FOR YOUR RECORDS <br />=iZ-- <br />DEAL R SIGNATURE DATE <br />