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s <br />SWRCB, January 2002 . <br />4. TANK ANNULAR TESTING <br />• Page -'L of 8 <br />Test Method Developed By: j0 ` ank Manufacturer ❑ Industry Standard ❑ Professional Engineer <br />Other (Spec) <br />Test Method Used: ❑ Pressure Vacuum ❑ Hydrostatic <br />❑ Other (Sped) <br />Test Equipment Used: ,,, att g, ,k <br />Equipment Resolution: -12-3p 11- <br />Tank # a t Z <br />Tank # 3Tank <br /># <br />Tauk # f <br />Is Tank Exempt From Testing?` <br />E)Yes WO <br />❑ Yes H:fqo <br />ElYes ElNo <br />dt ❑ Yes ❑ No <br />Tank Capacity: <br />(5y- 5 1,4-6 <br />1 <br />15 V— <br />Tank Material: <br />a s Sa ea _tr <br />SS S k-ce <br />Tank Manufacturer: <br />Tyv c <br />WIt S G <br />Product Stored: <br />Dhies-eL rew�i <br />t4 lu;Y <br />Wait time between applying <br />pressacu water and <br />startin <br />Test Start Time: <br />7"00 <br />Initial Reading (Rj): <br />—16 1 f - <br />(d <br />Test End Time: <br />t - oIj <br />/O, L(S <br />Final Reading (RF): <br />—1 <br />Test Duration: <br />7 IV Le <br />2-14 <br />Change in Reading (RF -RD: <br />P✓ <br />Pass/Fail Threshold or Criteria: <br />I\Io f.os s w I <br />U Los S 1 vt F+ • <br />Test Result: <br />ass ❑ Fad <br />jtrPass ❑ FaiLPassAE- <br />Pass ❑ F it <br />Was sensor removed for testing? <br />es ❑ No ❑ NA <br />es ❑ No ❑ NA <br />es❑No ❑ A <br />Was sensor properly replaced and <br />verified functional after testing? <br />❑ No ❑ NA <br />es ❑No ❑NAYes <br />❑ No ❑ N <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. {California Code of Regulations, Title 23, Section 2637(a)(6)) <br />