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FrQm: 0 0112iii <br />09 17A2 #347 P.003/011 <br />o N T A n C. T g A< <br />RAL,CH <br />k Ruin r. <br />„1 klA!351LlJf4`C-'�C i.IJ <br />Pa4e <br />Technician's Signature: Date: <br />4. TANK ANNULAR TESTING <br />Test Method Developed By: <br />-i Tank Manufacturer X Industry Standard Professional Engineer 1 <br />0 Other (Specify} <br />Test Method Used: <br />Ll Pressure <br />Fj Other (Specify) <br />X Vacuum <br />'Hydrostatic <br />Test Equipment Used: <br />Equipment Resolution: <br />RM <br />Main Diesel <br />Is Tank Exempt From. Testing?' L Yes x No ! <br />_ <br />Reserve Diesel i <br />Yes x No <br />- <br />-- — <br />New Oil <br />Yes x No <br />Waste Oil <br />; Yes x No <br />Tank Capacity: <br />12000 <br />6000 <br />5000 <br />2000 <br />Tank Material: <br />Fiberglass <br />Fiberglass <br />Fiberglass <br />Fiberglass <br />Tank Manufacturer: <br />Trusco <br />Trusco <br />Trusco <br />Trusco <br />Product Stored: <br />Diesel <br />Diesel <br />New Oil <br />Waste Oil <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />10 rein <br />10 thin <br />10 nein <br />10 min <br />Test Start Tirne: <br />8:30 am <br />8:30 am <br />10:00 am <br />10:00 am <br />Initial Reading (Rr): <br />10" of VA. i <br />-10" of VA. <br />-10" of VA. <br />-10" of VA. <br />Test End Time: <br />9:30 am <br />9:30 am <br />11:00 am <br />11:00 am <br />Final Reading (RF): <br />-10'' of VA <br />-10" of VA. <br />-10" of VA. <br />-10" of VA. <br />Test Duration: <br />1hr <br />1hr <br />lhr <br />1hr <br />Change in Reading (R,. -Rt): <br />0 <br />0 <br />0 <br />0 <br />Pass!Fail Threshold or Criteria: <br />One hour, no loss <br />Test Result: <br />., x Pass L Fail <br />x Pass 17.,kail <br />x Pass ❑ Fail <br />x Pass ❑ Fail <br />Was sensor removed for testing? <br />x Yes No -----NA <br />xYes L I No D NA <br />x Yes --1 No :__: NA <br />x Yes 1; No e NA <br />Was sensor properly replaced and <br />verified functional after testis ? <br />x Yes -.-:No -1 NA <br />x Yes L No 0 NA <br />x Yes 1_7 No FJ NA <br />x Yes :- No - NA <br />Comments — (include inf n-mation on repairs made prior to testing, and r-c.conrmencled,follow-up,forfhiletl tests) <br />Note: Repairs made to outer shell of New Oil tank. <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 />