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SWRCrB,January 2402 Page-2,of 7 <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: X Tank Manufacturer X Industry Standard Professional Engineer <br /> Other(Specify) <br /> Test Method Used: Pressure X Vacuum Hydrostatic <br /> Other(Specify) <br /> Test Equipment Used: Vacuum Gauges Equipment Resolution: <br /> Tank# Tank# Tank# Tank# <br /> Is Tank Exempt From Testing?' Yes No Yes No Yes No Yes No <br /> Tank Capacity: c� '5A 1 f. <br /> Tank Material: St P GX <br /> Tank Manufacturer: ylG� <br /> Product Stored: , <br /> T5 ej <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading (R,): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: f t y 2 <br /> Change in Reading (RF-Rs): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result:. ss. Fail Pass." Fail' Pass Fail: Pass Fail <br /> Was sensor removed for testing? es No NA Yes No NA Yes No NA Yes No NA <br /> Was sensor properly replaced and <br /> verified functional after testing? Yes No NA Yes No NA Yes No NA Yes No 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 <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(x)(6)) <br />