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SWRCB, January 2002 <br />4. TANK ANNULAR TESTING <br />Page 2 <br />Test Method Developed By: Tank Manufacturer Industry Standard F-1 Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: <br />❑ <br />11 <br />Pressure Vacuum ❑ Hydrostatic <br />Other (Spec) <br />st Equipment Used: <br />iia Tank # 1 Tank # <br />Equipment Resolution: <br />Tank # Tank # <br />Is Tank Exempt From Testing? t <br />❑ Yes x❑ No <br />❑ Ycs ❑ No <br />17 Yes E]No <br />11 Yes ❑ No <br />Tank Capacity: <br />1 o k <br />Tank Material: <br />dws t e e 1 <br />Tank Manufacturer: <br />unknown <br />Product Stored: <br />d s 1 <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />5 min <br />Test Start Time: <br />11:05 <br />Initial Reading (R ): <br />7 "hg <br />Test End Time: <br />12:05 <br />Final Reading (RF ): <br />711 hg <br />Test Duration: <br />1 hr <br />Change in Reading (RF - N ): <br />Oil hg <br />Pass/Fail Threshold or Criteria: <br />5 .2 "hg <br />Test Result: <br />Pass E Fail <br />F—] Pass E] Fail <br />1:1 Pass <br />E]Fail <br />E Pass 0 Fail <br />Was sensor removed for testing? <br />X <br />Yes <br />N <br />NA <br />Yes❑NcC]NA <br />Yes <br />N <br />NA <br />Yes❑No❑NA <br />Was sensor properly replaced and <br />verified fnctional after testing? <br />Ye�N�NA <br />❑ e� N� NA <br />❑ NC NA <br />❑ Ye N NA <br />Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) <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 />