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ANNUAL STATISTICAL INVENTORY RECONCILIATION (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, 1995 to December, 1995. <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 />* 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 penalty of perjury that all SIR results listed above are as calculated. <br />TRIANGLE EL. INC. <br />172 WEST VERDUGO AVE. <br />BURBANK, CA 91502 2132- <br />Signature of Tank Owner/Operator or Agent Date <br />SWRCB - AnnuaISIR.INV-02 <br />Minimum <br />Leak. <br />Detectable <br />Calculated <br />Threshold <br />Leak Rate <br />Leak 'Rate <br />Pass, Fail <br />Month/Year <br />(gph) <br />(gph) <br />„(gph)x, <br />lusive >.,. <br />1 <br />Jan 1995 <br />0.10 <br />0.10 <br />0.01 <br />Pass <br />2 <br />Feb 1995 <br />0.10 <br />0.20 <br />-0.04 <br />Pass ** <br />3 <br />Mar 1995 <br />0.10 <br />0.20 <br />-0.05 <br />Pass ** <br />4 <br />Apr 1995 <br />0.10 <br />0.20 <br />0.01 <br />Pass <br />5 <br />May 1995 <br />0.10 <br />0.20 <br />0.03 <br />Pass <br />6 <br />June 1995 <br />0.10 <br />0.36 <br />-0.04 <br />Pass ** <br />7 <br />July 1995 <br />0.10 <br />0.33 <br />-0.05 <br />Pass ** <br />8 <br />Aug 1995 <br />0.10 <br />0.42 <br />-0.02 <br />Pass ** <br />9 <br />Sept 1995 <br />0.10 <br />0.38 <br />-0.02 <br />Pass ** <br />10 <br />Oct 1995 <br />0.10 <br />0.20 <br />0.05 <br />Pass <br />11 <br />Nov 1995 <br />0.10 <br />0.20 <br />0.05 <br />Pass <br />12 <br />Dec 1995 <br />0.10 <br />0.20 <br />-0.07 <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 />I certify under penalty of perjury that all SIR results listed above are as calculated. <br />TRIANGLE EL. INC. <br />172 WEST VERDUGO AVE. <br />BURBANK, CA 91502 2132- <br />Signature of Tank Owner/Operator or Agent Date <br />SWRCB - AnnuaISIR.INV-02 <br />