Geo Environmental Consultants, Inc.

MONTHLY INVENTORY RECORD

40 Lyerly Street, Houston TX 77022
Email datasheet to mgonzalez@geoenvconsultants.com

FACILITY ID: FACILITY NAME:

FACILITY ADDRESS:

TANK NUMBER: TANK SIZE: gallons

FUEL TYPE: MONTH/YEAR:

LEVEL OF WATER (INCHES): CHECKED ON: (date)

Stick (Closing Daily Over/Short

Beginning Gallons Sales Book Inventory Inventory)
Stick Inventory Delivered (Gallons (Gallons) Manually stick tank
(Gallons)
DATE (Gallons) (Purchase) Pumped) Columns (1)+(2)-(3)
(1) (2) (3) (4) Inches Gallons Stick - Book
(5) Columns (5)-(4) INITIALS
1 0.0 0.0
2 0.0 0.0
3 0.0 0.0
4 0.0 0.0
5 0.0 0.0
6 0.0 0.0
7 0.0 0.0
8 0.0 0.0
9 0.0 0.0
10 0.0 0.0
11 0.0 0.0
12 0.0 0.0
13 0.0 0.0
14 0.0 0.0
15 0.0 0.0
16 0.0 0.0
17 0.0 0.0
18 0.0 0.0
19 0.0 0.0
20 0.0 0.0
21 0.0 0.0
22 0.0 0.0
23 0.0 0.0
24 0.0 0.0
25 0.0 0.0
26 0.0 0.0
27 0.0 0.0
28 0.0 0.0
29 0.0 0.0
30 0.0 0.0
31 0.0 0.0
TOTAL GALLONS PUMPED > 0.0 TOTAL GALLONS OVER OR SHORT > 0.0

Drop the last 2 whole numbers from the total gallons

pumped and enter on the line below Compare these numbers

LEAK CHECK: 0 + 130 = 130 gallons

Is "TOTAL GALLONS OVER OR SHORT" LARGER than "LEAK CHECK" result? YES NO (circle one)

If answer is "YES" for 2 MONTHS IN A ROW, notify TCEQ as soon as possible.

KEEP THIS PIECE OF PAPER ON FILE FOR AT LEAST 1 YEAR

Geo Environmental Consultants, Inc. MONTHLY INVENTORY RECORD
40 Lyerly Street, Houston TX 77022
Email datasheet to mgonzalez@geoenvconsultants.com

FACILITY ID: FACILITY NAME:

FACILITY ADDRESS:

TANK NUMBER: TANK SIZE: gallons

FUEL TYPE: MONTH/YEAR:

LEVEL OF WATER (INCHES): CHECKED ON: (date)

Stick (Closing Daily Over/Short

Beginning Gallons Sales Book Inventory Inventory)
Stick Inventory Delivered (Gallons (Gallons) Manually stick tank
(Gallons)
DATE (Gallons) (Purchase) Pumped) Columns (1)+(2)-(3)
(1) (2) (3) (4) Inches Gallons Stick - Book
(5) Columns (5)-(4) INITIALS
1 0.0 0.0
2 0.0 0.0
3 0.0 0.0
4 0.0 0.0
5 0.0 0.0
6 0.0 0.0
7 0.0 0.0
8 0.0 0.0
9 0.0 0.0
10 0.0 0.0
11 0.0 0.0
12 0.0 0.0
13 0.0 0.0
14 0.0 0.0
15 0.0 0.0
16 0.0 0.0
17 0.0 0.0
18 0.0 0.0
19 0.0 0.0
20 0.0 0.0
21 0.0 0.0
22 0.0 0.0
23 0.0 0.0
24 0.0 0.0
25 0.0 0.0
26 0.0 0.0
27 0.0 0.0
28 0.0 0.0
29 0.0 0.0
30 0.0 0.0
31 0.0 0.0
TOTAL GALLONS PUMPED > 0.0 TOTAL GALLONS OVER OR SHORT > 0.0

Drop the last 2 whole numbers from the total gallons

pumped and enter on the line below Compare these numbers

LEAK CHECK: 0 + 130 = 130 gallons

Is "TOTAL GALLONS OVER OR SHORT" LARGER than "LEAK CHECK" result? YES NO (circle one)

If answer is "YES" for 2 MONTHS IN A ROW, notify TCEQ as soon as possible.

KEEP THIS PIECE OF PAPER ON FILE FOR AT LEAST 1 YEAR

Geo Environmental Consultants, Inc. MONTHLY INVENTORY RECORD
40 Lyerly Street, Houston TX 77022
Email datasheet to mgonzalez@geoenvconsultants.com

FACILITY ID: FACILITY NAME:

FACILITY ADDRESS:

TANK NUMBER: TANK SIZE: gallons

FUEL TYPE: MONTH/YEAR:

LEVEL OF WATER (INCHES): CHECKED ON: (date)

Stick (Closing Daily Over/Short

Beginning Gallons Sales Book Inventory Inventory)
Stick Inventory Delivered (Gallons (Gallons) Manually stick tank
(Gallons)
DATE (Gallons) (Purchase) Pumped) Columns (1)+(2)-(3)
(1) (2) (3) (4) Inches Gallons Stick - Book
(5) Columns (5)-(4) INITIALS
1 0.0 0.0
2 0.0 0.0
3 0.0 0.0
4 0.0 0.0
5 0.0 0.0
6 0.0 0.0
7 0.0 0.0
8 0.0 0.0
9 0.0 0.0
10 0.0 0.0
11 0.0 0.0
12 0.0 0.0
13 0.0 0.0
14 0.0 0.0
15 0.0 0.0
16 0.0 0.0
17 0.0 0.0
18 0.0 0.0
19 0.0 0.0
20 0.0 0.0
21 0.0 0.0
22 0.0 0.0
23 0.0 0.0
24 0.0 0.0
25 0.0 0.0
26 0.0 0.0
27 0.0 0.0
28 0.0 0.0
29 0.0 0.0
30 0.0 0.0
31 0.0 0.0
TOTAL GALLONS PUMPED > 0.0 TOTAL GALLONS OVER OR SHORT > 0.0

Drop the last 2 whole numbers from the total gallons

pumped and enter on the line below Compare these numbers

LEAK CHECK: 0 + 130 = 130 gallons

Is "TOTAL GALLONS OVER OR SHORT" LARGER than "LEAK CHECK" result? YES NO (circle one)

If answer is "YES" for 2 MONTHS IN A ROW, notify TCEQ as soon as possible.

KEEP THIS PIECE OF PAPER ON FILE FOR AT LEAST 1 YEAR