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hNNUAL STATISTIQSL INVENTORY RECONCIOTION (SIR) REPORT <br />Annual summary reports are required for retail and non -retail facilities <br />FACILITY NAME Quik Stop #124 PRODUCT Regular Unleaded <br />FACILITY ADDRESS 505 North Main Street TANK I.D. Number Tank NO. 1-UNL <br />CITY, STATE ZIP Manteca, CA 95336 <br />TANK OWNERIOPERATOR Quik Stop Markets, Inc. TANK CAPACITY 9,685 <br />LAST TANK TEST DATE PASS/FAIL LAST LEAK DETECTOR CHECK DATE PASS/FAIL <br />LAST PIPING TEST DATE PASS/FAIL LAST METER CALIBRATION CHECK DATE PASS/FAIL <br />aAll monthly SIR results for the above mentioned tank at the above mentioned facility were "pass" for the twelve <br />month period from January, 1996 to December, 1996. <br />ā¯‘Monthly SIR results showing "fail" or "inconclusive" occurred on the following months, in the listed amounts, for the <br />UST. If the SIR result for a month exceeded the SIR method's threshold or was inconclusive, appropriate corrective <br />actions described in Section 2646.1 must be taken. The local agency must be notified within 24 hours of receiving a <br />"failed" or "inconclusive" SIR report. <br />Summary of text results from monthly SIR reports. Complete for all 12 months. <br />1 <br />Jan 1996 <br />0.10 <br />0.20 <br />0.03 <br />Pass <br />2 <br />Feb 1996 <br />0.10 <br />0.20 <br />-0.04 <br />Pass <br />** <br />3 <br />Mar 1996 <br />0.10 <br />0.20 <br />-0.06 <br />Pass <br />** <br />4 <br />Apr 1996 <br />0.10 <br />0.20 <br />0.03 <br />Pass <br />5 <br />May 1996 <br />0.10 <br />0.20 <br />-0.03 <br />Pass <br />** <br />6 <br />June 1996 <br />0.10 <br />0.20 <br />-0.16 <br />Pass <br />** <br />7 <br />July 1996 <br />0.10 <br />0.20 <br />-0.03 <br />Pass <br />** <br />8 <br />Aug 1996 <br />0.10 <br />0.20 <br />-0.02 <br />Pass <br />** <br />9 <br />Sept 1996 <br />0.10 <br />0.20 <br />-0.03 <br />Pass <br />** <br />10 <br />Oct 1996 <br />0.10 <br />0.20 <br />0.00 <br />Pass <br />** <br />11 <br />Nov 1996 <br />0.10 <br />0.20 <br />-0.01 <br />Pass <br />** <br />12 <br />Dec 1996 <br />0.10 <br />0.20 <br />0.01 <br />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 twelve-month period covered by this summary report. <br />Send to: (local implementing agency) <br />y <br />I certify ffl$ GPErtNVj_,,4M VIALtl*all SIR results listed above are as calculated. <br />2525 W. BURBANK BLVD. <br />­' I`'nANK CA 91505-2302 <br />Signature of Tank Owner/Operator or Agent Date <br />SWRCB - AnnuaISIR.INV-02 <br />