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SWRCB,January 2002 Page_of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: U Tank Manufacturer ❑Industry Standard U Professional Engineer <br /> ❑Other(Specify) <br /> Test Method Used: ❑Pressure U Vacuum U Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> Tank# Diesel Tank# Tank# Tank# <br /> Is Tank Exempt From Testing?' X Yes ❑No U Yes U No ❑Yes E No U Yes U No <br /> Tank Capacity: 10000 <br /> Tank Material: Fiberglass <br /> Tank Manufacturer: Xerxies <br /> Product Stored: Diesel <br /> Wait time between applying <br /> pressure/vacuum/water and 20 min <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(Ri): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-Rj): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: 0 Pass 0 Fail 0 Pass 0 Fail 0 Pass 0 Fail 0 Pass U Fail <br /> Was sensor removed for testing? U Yes 0 No U NA U Yes U No ❑NA ❑Yes U No U NA U Yes LJ No --NA <br /> Was sensor properly replaced and [I Yes U No ❑NA U Yes 0 No U NA ❑Yes 0 No ❑NA U Yes ❑No U NA <br /> verified functional after testin ? <br /> Comments—(include information on repairs made prior to testing and recommendedfollow-up orfailed tests) <br /> The UST annular is a brine filled system whitch is not required for testing. <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 />