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SWRCB,January 2002 Page of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑Tank Manufacturer ❑Industry Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure $Vacuum ❑Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: Equipment Resolution: j <br /> Tank# Tank# Tank# Tank# <br /> Is Tank Exempt From Testing?' ❑Yes No E Yes Ll Yes No Yes -1 No <br /> ❑ <br /> Tank Capacity: <br /> Tank Material: <br /> Tank Manufacturer: (� <br /> Product Stored: <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> --1 <br /> Test Start Time: 0� <br /> Initial Reading(Rj): <br /> Test End Time: ell, <br /> Final Reading(RF): /,,- <br /> ion: <br /> jion: <br /> Change in Reading(RF-R,): ' --- 1-- <br /> Pass/Fail Threshold or Criteria: <br /> I <br /> Test Result: 99 Pass ❑ Fail ff,Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail <br /> Was sensor removed for testing? 'Yes ❑N o ❑NA ®Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and 1MYes ❑No ❑NA .M Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> verified functional after testing? <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for 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 /> taetinn fI QI;Fr%min(^til nFRaanlatinne Tit1a 7'2 Qartinn 74Z7(QVf%Nk <br />