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SWRCB,January 2002 Page �z of- <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ank Manufacturer 11 Industry Standard I Professional Engineer <br /> Kther(Specify) <br /> Test Method Used: ❑ Pressure Vacuum C Hydrostatic <br /> C1 Other(Specify) <br /> Test Equipment Used: ( V,r[u6ewr fw G7ClluW &,,juf[. ,-pt t.{. i Equipment Resolution: —1/7, 9 lie, <br /> Tank# .L Tank# Z Tanis# 3 Tank# <br /> Is Tank Exempt From Testing?' 0 Yes IVNo 17 Yes No ❑ Yes XNo 0 Yes L7 No/ <br /> Tank Capacity: [ vI� 8 Ic- () 1L <br /> Tank Material: i r_ f Sd z2v ¢5 .� SSS <br /> Tank Manufacturer: <br /> Product Stored: 2 cI I la � �� y t,$L ?( <br /> Wait time between applying <br /> pressure acuum/ ater and 11 `` <br /> startIn t t/1 Uu l� U Gt. <br /> Test Start Time: <br /> Initial Reading(R[): — toll <br /> Test End Time: (} u f) I . q I () q t) <br /> Final Reading(RF): 1e)I.1 —I 4� <br /> Test Duration: �t U u 1,,aur Lk,01A t,' <br /> Change In Reading(RF-RE): <br /> Pass/Fail Threshold or Criteria: f)e) Loss ;1-1 )P. . N U GUS 5 i A I� P d vJ �vi 141, <br /> Test Result: �Y P_ass ❑ ail Pass ❑ Fail Pass ❑ Fail VPass ❑ Fai <br /> Was sensor removed for testing? ❑ Yes "o ❑NA ❑Yes t�No ❑NA CJ Yes n ❑NA Yea ❑No ❑N <br /> Was sensor properly replaced and ❑ Yes ❑No 6ENA ❑Yes ❑No �?NA ❑Yes 1❑No ;i,lvA f❑Yes ❑No ❑NA <br /> verified functional after testing? <br /> Comments— include information on repairs made prior to testing, and recommended follow-up fo faded 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, ;ire exempt from periodic containment <br /> ies(ing. (California Code of RCgUlations, "Title 23, Section 26374a)(6)} <br />