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1 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. {Califomia Code of Regulations, Title 23, Section 2637(x)(6)} <br />Page 2 of 9 <br />1. TANK ANNULAR TESTING <br />Test Method Ueveloped By: <br />❑ Tank Manufacturer ®Industry Standard ❑Professional Engineer <br />❑Other (Specify) <br />Test Method Used: <br />❑Pressure <br />®Vacuum ❑Hydrostatic <br />❑Other (Specify) <br />Test Equipment Used: See attached testing procedures <br />� . • ^€ ,, <br />Equipment Resolution <br />x # .,, v.`.w '. 'sit+.`� A 3x3..r.Y v .,a'w :.�; ,v� �y , r°' s.'1'w' <br />. <... m <br />Tank # 87 <br />c ❑Yes ®No <br />Tank # 91 Tank # Tank # <br />❑ Yes <br />Is Tank Exempt From Testing?] <br />Tank Capacity: <br />No ❑Yes ❑ No ❑ Yes ❑ No <br />Tank Material: <br />Fiberglass <br />Fiberglass <br />Tank Manufacturer: <br />Product Stored: <br />Regular <br />Premium <br />Wait time between applying <br />Pressure/vacuum/water and <br />starting test: <br />30 minutes <br />30 minutes <br />Test Start Time: <br />8:15am <br />8:15am <br />Initial Reading (R,): <br />10HG <br />10HG <br />Test End Time: <br />9:15am <br />9:15am <br />Final Reading (RF): <br />10 HG <br />10HG <br />Test Duration: <br />1 hour <br />1 hour <br />Change in Reading (RF-Rj): <br />0 <br />0 <br />Pass/Fail Threshold or Criteria: <br />0.00 <br />0.00 <br />Test Result: <br />El Pass ❑ Fail <br />0.00 0.00 <br />® Pass ❑ Fail ❑Pass ❑Fail ❑Pass El Fail <br />Was sensor removed for testing? <br />Was <br />❑Yes []No ❑NA <br />❑yes ❑No [:]NA []Yes ❑No ❑NA ❑Yes ❑Na ❑NA <br />sensor properly replaced and <br />❑Yes ❑No ❑NA <br />verified functional after testing? <br />❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑yes ❑Na ❑NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up forfailed tests) <br />1 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. {Califomia Code of Regulations, Title 23, Section 2637(x)(6)} <br />