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ACDEH,August 2003 Page of <br /> 4. T.An ANNULAR TESTING <br /> Test Method Developed By: ank Manufacturer ❑Industry Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure acuum Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used 0-30"Hg Vacuum Gauge '-- x Glc Equipment Resolution: <br /> a < Tank#�— 91 Tank ua8 7 Tank#y Tank# <br /> Is Tank Exempt From Testing?' ❑Yes o ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> Tank Capacity: 1.2—Ile <br /> Tank Material: <br /> Tank Manufacturer: D�e�,s Owe <br /> Product Stored: <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: -9-' �ka25) R, <br /> Initial Reading(RI): <br /> Test End Time: P,0 <br /> Final Reading(RF): <br /> Test Duration: .4r <br /> Change in Reading(RF-RI): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: ass ❑Fails ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail <br /> Was sensor removed for testing? lis ❑No ❑NA ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and <br /> verified functional after testing? aYle's ❑No ❑NA es ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up or failed tests) <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. {California Code of Regulations, Title 23,Section 2637(a)(6)) <br />