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SW RCB,January 2002 Page a of-I <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: X Tank Manufacturer D Industry Standard D Professional Engineer <br /> D Other(t:pecify) <br /> Test Method Used: D Pressure X Vacuum D Hydrostatic <br /> D Other(1pecify) <br /> Test Equipment Used: Vacuum Gage Equipment Resolution: .5"Hg <br /> Tank#I— Tank p2— Tank tt3— Tankp4— <br /> Is Tank Exempt From Testing?' D Yes _1 No 11 Yes D No D Yes 11 No D Yes D No <br /> Tank Capacity: <br /> Tank Material: <br /> Tank Manufacturer: <br /> Product Stored: <br /> Wait time between applying <br /> pressure/vacuum/water and 10 Mie„. 10 Min. 10 Min. 10 Min. <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(R,): 10” Hq 30"Hg 10" Hg 30" Hg <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: 1 Hour 1 Hour 1 Hour 1 Hour <br /> Change in Reading(RF-R,): <br /> Pass/Fail Threshold or Criteria: +/-0" Hg +/-0" Hg +/-0"Hg +/-0"Hg <br /> Test Result: D Pass D Fail D Pass D Fail D Pass D Fail D Pass D Fail <br /> Was sensor removed for testing? D Yes D Nct D NA D Yes D No DNA D Yes D No D NA D Yes D No DNA <br /> Was sensor properly replaced and D Yes D Nm.0 NA D Yes D No D NA-T,Yes ❑No DNA ❑Yes D No DNA <br /> verified functional after testing? <br /> Comments—(include information on repairs[mode prior to testing, and recommended follow-up for failed tests) <br /> Not Tested — Brine Filled <br /> ti <br /> i <br /> Secondary containment systems where the continv,'.)us monitoring automatically monitors both the primary and secondary <br /> containment,such as systems that are hydrostatical l: monitored or under constant vacuum,are exempt from periodic containment <br /> testing. {California Code of Regulations,Title 23, lection 2637(a)(6)) <br /> 't <br />