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RECEIVED <br />OCT 0 7 2013 <br />SWRCB, January 2002 Page of <br />ENVIRONMENTAL <br />4. TANK ANNULAR TESTING HEALTH DFPARTMFNT <br />Test \1ethod Developed By: X Tank Nlanulactnrer ❑ IndusUy Standard Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: ❑ Pressure X Vacuum ❑ Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: Gast Vacuum Pump/Vacuum Gauges in I lg. <br />Tauik # 1 Tank #1'anl: <br />I:yuipmcnt Resolution: - %z" x -30" IIS,. <br /># Tank # <br />Is Tank Exempt From Testing?' <br />No <br />Tank Capacity: <br />10K <br />Tank Material: <br />Jacketed DW Steel <br />Tank Manufacturer: <br />K&T Steel <br />Product Stored: <br />Diesel <br />Wait time between applying <br />vacuum and starting test: <br />10 Minutes <br />Test Start Time: <br />9:45 <br />Initial Reading (Rj): <br />-7 Hg. <br />Test End Time: <br />10:45 <br />Final Reading (RF): <br />-7 Hg. <br />Test Duration: <br />1 Hour <br />Change in Reading (RF -RI): <br />0 Hg. <br />Pass/Fail Threshold or Criteria: <br />No loss in Hg. <br />Test Result: <br />Pass <br />Was sensor removed for testing? <br />Yes <br />Was sensor properly replaced and <br />verified functional after testing? <br />Yes <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />Tank has Annular Vent to Atmosphere, Annular Vent capped during Testing. <br />1 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. {California Code of Regulations, Title 23, Section 2637(a)(6)) <br />