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SWRCB,January 2002 <br /> *04. Page 2 <br /> . TANK ANNULAR TESTING <br /> Test Method Developed By: ❑ Tank Manufacturer ❑X Industry Standard ❑ Professional Engineer <br /> 0 Other (Specify) <br /> Test Method Used: ❑ Pressure Vacuum ❑ Hydrostatic <br /> ❑ Other (Spec) <br /> Test Equipment Used: gauge Equipment Resolution:0 loss <br /> Tank# 1 PRE Tank# 2 REG Tank# 3 DIE Tank# <br /> Is Tank Exempt From Testing?1 X IYes I INo X Yes No X Yes No Yes No <br /> Tank Capacity: <br /> Tank Material: <br /> Tank Manufacturer: <br /> Product Stored: <br /> Wait time between applying <br /> pressure/vacuuni/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(Rt ): <br /> Test End Time: <br /> Final Reading(RF ): <br /> Test Duration: <br /> Change in Reading(RF-P4 ): <br /> *Pass/Failhreshold or Criteria:r removed for testing? Ye N NA Yes N NA Yes N NA Yes N NA <br /> Was sensor properly replaced and ❑ � ❑ � ❑ � ❑ <br /> verified functional after testing? Ye N NA Ye N NA Ye N NA Ye N NA <br /> Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> annular sensors are brine sensors <br /> t 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 />