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ANNUAL STATISTICA INVENTORY RECONCILI. ION (SIR) REPORT <br /> Annual summary reports are required for retail and non-retail facilities <br /> FACILITY NAME Circle K #01205 PRODUCT Regular Unleaded <br /> FACILITY ADDRESS 16470 Cambridge TANK I.D. Number 3900001532-2 <br /> CITY,STATE ZIP Lathrop CA 95330 <br /> TANK OWNEWOPERATOR The Circle K Corporation. TANK CAPACITY 10,000 <br /> LAST TANK TEST DATE PASSIFAIL LAST LEAK DETECTOR CHECK DATE PASSIFAIL <br /> LAST PIPING TEST DATE PASS/FAIL LAST METER CALIBRATION CHECK DATE PASS/FAIL <br /> ❑ All monthly SIR results for the above mentioned tank at the above mentioned facility were"pass"for the twelve <br /> month period from January, 1994 to December, 1994. <br /> Monthly SIR results showing"fail"or"inconclusive"occurred on the following months, in the listed amounts,for the <br /> UST. H the SIR result for a month exceeded the SIR method's threshold or was inconclusive, appropriate corrective <br /> acctions described in Section 2646.1 must be taken.The local agency must be notified within 24 hours of receiving <br /> a"failed" or"inconclusive"SIR report. <br /> Summary of text results from monthly SIR reports. Complete for all 12 months. <br /> uA'Vv 2c .x`25... <gchuv .w'`�v�v�:jo�U'OJ'ffd J<. <br /> q & <br /> .......... <br /> 1 Jan 1994 0.10 0.10 0.20 Fail <br /> 2 Feb 1994 0.10 0.10 0.04 Pass <br /> 3 Mar 1994 0.10 0.10 0.03 Pass <br /> 4 Apr 1994 0.10 0.10 0.03 Pass <br /> 5 May 1994 0.10 0.10 0.11 Fail <br /> 6 June 1994 0.10 0.10 0.03 Pass <br /> 7 July 1994 0.10 0.10 0.03 Pass <br /> 8 Aug 1994 0.10 0.10 -0.01 Pass" <br /> 9 Sept 1994 0.10 0.10 0.01 Pass <br /> 10 Oct 1994 0.10 0.10 -0.13 Pass" <br /> 11 Nov 1994 0.10 0.10 -0.01 Pass" <br /> 12 Dec 1994 0.10 0.10 0.01 Pass <br /> No Analysis Performed <br /> Negative Calculated Leak Rate indicates a Gain <br /> Submit report within 15 days following the end of the last month of the twetva-month period covered by this summary report. <br /> Send to: (local implementing agency) <br /> I certify under penalty of perjury that all SIR results listed above are as calculated. <br /> W. MAR 21995 <br /> Signature of Tk NOperalor or Agent Date <br /> YRON W. S".SETH <br /> Envl mental/Compliance SWRCB-AnnuaI5lR.lNV-@ <br /> Manager <br />