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0 - <br />Jan 23 06 08:16p MIW Datten 20 0 533-2650 p.2 <br />4. TANK ANNULAR TESTING <br />Test Method Developed By: ❑ Tank Manufacturer Industry Standard ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: ❑ Pressure N Vacuum ❑ Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: Equipment Resolution: <br />Tank # <br />Tank # <br />Tank # <br />Is Tank Exempt From Testing?' <br />❑ Yes 0 No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />0 Yes ❑ No <br />Tank Capacity: <br />12000 <br />Tank Material: <br />DW Steel <br />Tank Manufacturer: <br />Unknown <br />Product Stored: <br />Diesel & Gas <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />None <br />Test Start Time: <br />12:30 <br />Initial Reading (Rj): <br />20" we <br />Test End Time: <br />13:00 <br />Final Reading (RF): <br />20" we <br />Test Duration: <br />30 min <br />Change in Reading (Rv-Ri): <br />0.00 <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />0 Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />Was sensor removed for testing? <br />❑ Yes 0 No❑ NA <br />❑ Yes ❑ No❑ NA <br />❑ YesEl NoE:1NA <br />❑ Yes ❑ No❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />Zyes ONoE]NA <br />E]Yes E]NoONA <br />DYesE]NoE]NA <br />DYes ONoONA <br />Comments — (include information on repairs made prior to testing, and recommendedfollow-up forfailed iesis) <br />The annular space serves all three compriments of this tank <br />' Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br />containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment <br />testing. f California Code of Regulations, Title 23. Section 2637(a)(6)) <br />