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he Simmons Corporatio MONTHLY A* STATISTICAL INVENTORY RECONCILIATION (SIR) REPORT SIR Provider Shields, Harper& Co. Oakland CA Phone: (800)772-2300 SIR Version SIR 5.7 -Version 5.7.L.M Date of SIR Report: 2/18/98 Period Covered 1/98 What is the required number of usable invento!j days per tank? 30 Facility Name Franks One Stop Icust Site ID: FranksOn Simmons Site ID: MAHVAAA Tank Location Address: 2072 W. Yosemite Avenue Phone: (209)239-9575 City: Manteca I State: CA Zip: 95337 Fax: Tank Owner Name: Frank's One Stop Food Marts Address: 2072 W. Yosemite Avenue Phone: (209)239-9575 City: Manteca State: CA Zip: 95337 Fax: Tank Operator Name: Frank's One Stop Food Marts Simmons Customer Tank Tank This Month Last Two Tank Tank Contents Capacity Month Months Number Number (gallons) Ago Leak Minimum Calculated Pass,Fail, Pass,Fail, Pass,Fad, Threshold Detectable Leak Incon- Incon- Incon- Leak Rate(6b) clusive clusive clusive Rate(6c) (Jan 98) (Dec 97) (Nov 97) gph gph gph P F I P F I P F I MAWAUVr FOS1 Unleaded Plus 10,033 0.10 MAHVAAA7-70S7_ Regular Unle-aUe-d—---10—,033 0.00 0.00 --TW YA MAHVAXU-_F0ZW_ Premium Unle—a—de–U—_70—,033 0.10 0.09 ---TM MAHVAAA4 F055 Diese 10,033 0.000.013- NOTE: YA indicates No Analysis Performed Negative Calculated Leak Rates Indicate Gain G indicates Gaining trend 1.The tank owner is required 1b have a SIR report for each month. 2.Monthly reports must be submitted to the local agency upon request 3.The tank owner is required to have the report by the 20th day of the following month. 4.If for any reason,the test is neither"pase nor"fail",the inconclusive column will be marked. S.The local agency may need to be notified of the tank that does not pass the SIR test within 24 hours of receipt of the report and the SIR report should be submitted to the local agency within 10 days of the report. 6 Quantitative and Qualitative Methods: a.A leak threshold,minimum detectable leak rate,and calculated leak rate must be provided foresch tank.If not then the tank failed the SIR test. b.If the absolute value of the calculated leak rate for the tank is greater than or equal to the leak threshold,the tank failed the SIR test. a If the minimum detectable leak rate forthe tank is greater than the certified performance standard(i.e.,0.1 or 02 gph)and the calculated Leak rate is less than the leak threshold,the test is inconclusive for that month. d.Two consecutive failures and/or inconclusives may require a tank and/or piping integrity test within 15 days from the date of the second report The local agency should be contacted 7.A conclusive result of"pass"or"fad"is required to meet monthly leak detection requirements. Person conducting evaluation Simmons Technician For Information Call Jim Cartmill Date of SIR Report: 2/18/98