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ANNUAL STATISTICA INVENTORY RECONCILL ION (SIR) REPORT Annual summary reports are required for retail and non-retail facilities FACILITY NAME Circle K#01205 PRODUCT Med.Grade Unleaded FACILITY ADDRESS 16470 Cambridge TANK I.D. Number 3900001532-1 CITY,STATE ZIP Lathrop, CA 95330 TANK OWNERIOPERATOR The Circle K Corporation. TANK CAPACITY 10,000 LAST TANK TEST DATE PASS/FAIL LAST LEAK DETECTOR CHECK DATE PASS/FAIL LAST PIPING TEST DATE PASS/FAIL LAST METER CALIBRATION CHECK DATE PASS/FAIL All monthly SIR results for the above mentioned tank at the above mentioned facility were"pass"for the twelve month period from January, 1994 to December, 1994. ❑ Monthly SIR results showing"fail"or"inconclusive"occurred on the following months, in the listed amounts,for the UST. If the SIR result for a month exceeded the SIR method's threshold or was inconclusive, appropriate corrective acctions described in Section 2646.1 must be taken.The local agency must be notified within 24 hours of receiving a"failed" or"inconclusive"SIR report. Summary of text results from monthly SIR reports. Complete for all 12 months. MR� s �V 3c .:�%? 1 Jan 1994 0.10 0.10 0.02 Pass 2 Feb 1994 0.10 0.10 0.01 Pass 3 Mar 1994 0.10 0.10 0.04 Pass 4 Apr 1994 0.10 0.10 0.02 Pass 5 May 1994 0.10 0.10 0.05 Pass 6 June 1994 0.10 0.10 0.07 Pass 7 July 1994 0.10 0.10 0.04 Pass 8 Aug 1994 0.10 0.10 0.01 Pass 9 Sept 1994 0.10 0.10 -0.01 Pass" 10 Oct 1994 0.10 0.10 -0.02 Pass" 11 Nov 1994 0.10 1 0.10 0.03 Pass 12 Dec 1994 0.10 0.10 -0.06 Pass ' No Analysis Performed " Negative Calculated Leak Rate indicates a Gain Submit report within 15 days following the end of the last month of the twelve-month period covered by this summary report. Send to: (local implementing agency) I certify under penalty of perjury that all SIR results listed above are as calculated. MAR 21935 Sigiatumo kOwner/OpsraororAgent Date YRON W. SMITH EnW vironmental/Compliance SWRCB-Annua151R.1 Manager