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SWRCB, MAY 2002 rage u� <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed by: {] Tank Manufacturer industry Standard Professional Engineer <br /> Other(Specify) <br /> Test Method Developed by: Pressure Vacuum Q Hydrostatic <br /> Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> Tank# ' Tank# �2_ TAnk# .3 flank# <br /> Is Tank Exempt From Testing?' r) Yes 0 No ❑ Yes (3 No Yes fR No Yes No <br /> Tank Capacity: a 4 sZ 005 <br /> Tank Material: t EC sr <br /> Tank Manufacturer:. <br /> Product Stored: ''e- :J;�- s t�C <br /> Wait time between applying press rel <br /> vacuum/water&starting test: 71.5,;"T1 7-/s <br /> Test Start Time: V Q c O <br /> Initial Reading(RT): a' G• <br /> Test End Time: a d <br /> Final Reading(RF): a i, C1 ss <br /> Test Duration: L <br /> Change in Reading(RR- Ri): 0.O <br /> Pass/Fail Threshold or Criteria: b 69-0 <br /> TEST RESULT: PASS FA3L OF PASS OrFAIL PASS C] FAIL ❑ PASS FAIL <br /> Was sensor removed for testing? es No[]NA ff Yes Q No rl NA Yes Q No❑NA []Yes[]No C)NA <br /> Was Sensor properly replaced & <br /> verified functional after testing? Yes No C]NA Yes No NA Yes C]No NA E)Yes No NA <br /> Was Sensor properly replaced& <br /> verified functional Yes 0 No CNA Yes Yes f3 No C3 NA <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 contain- <br /> ment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. <br /> (California Code of Regulations,Title 23, Section 2637 (A)(6)) <br />