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NUAL STATISTIC& INVENTORY RECOCI TION (SIR) REPORT <br />Annual summary reports are required for retail and non—retail facilities <br />FACILITY NAME Quik Stop #124 PRODUCT Unleaded Plus <br />FACILITY ADDRESS 505 North Main Street TANK I.D. Number Tank NO. 2 PLUS <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 />All monthly SIR results for the above mentioned tank at the above mentioned facility were "pass" for the twelve <br />FX I month period from January, 1996 to December, 1996. <br />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 />ani <br />'Cr..x��t:., t <br />< ` \\W �� <br />Fh ;3 \ \. t `"�, <br />�\, \ )\ \ �'F'"•',. \yak :' €Yg3.`;ixD�\ <br />\\��\'\h�..\\•, C'\\ \yyF.4'�'\\ <br />\ �., >�\\\�\ <br />"' <br />w\\\ \ h\,5\ <br />:S, <br />`, \" <br />£1\ �: <br />: \� <br />m� <br />.•� <br />. <br />1 / <br />1 1 <br />1/ <br />'. <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 />I certify under penaltyof er'ur t all SIR results listed above are as calculated. <br />TRIANGLE ENVRONIE�TA�L, <br />2525 W. BURBANK BLVD.pj QQANII( CA 91505- 302 -51- 01-7 <br />Signature of Tan edOperator or Agent Date <br />SWRCB — AnnuaISIR. WV -02 <br />