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s <br /> Page 2 of 7 <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: Tank Manufacturer Industry Standard X Professional Engineer' <br /> Other(Specify) <br /> Test Method Used: Pressure X Vacuum Hydrostatic <br /> Other(Specify) <br /> Test Equipment Used: Vacuum Pump Equipment Resolution: <br /> Tank# 1 Tank# 2 Tank# 3 Tank# 4 <br /> Is Tank Exempt From Testing?' Ll Yes F✓ No D Yes 0 No E:]Yes E No 0 Yes Z No <br /> Tank Capacity: 10,000 10,000 1,000 1,000 <br /> Tank Material: Fiberglass/Steel Fiberglass/Steel Fiberglass/Steel Fiberglass/Steel <br /> Tank Manufacturer: Unknown Unknown Unknown Unknown <br /> Product Stored: Unleaded Diesel Waste Oil Hydraulic Oil <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: 30 Min 30 Min 30 Min 30 Min <br /> Test Start Time: 09:30 09:30 14:00 14:45 <br /> Initial Reading(Ra): 5 Hg 5 Hg 5 Hg 5 Hg <br /> Test End Time: 10:30 10:30 15:00 15:45 <br /> Final Reading(RF): 5 Hg 5 Hg 5 Hg 5 Hg <br /> Test Duration: 1 Hr I Hr I Hr I Hr <br /> Change in Reading(RF-Ri): 0 0 0 0 <br /> Pass/Fail Threshold or Criteria: 2 Hg 2 Hg 2 Hg 2 Hg <br /> Test Result: L-11 Pass Fail FY] Pass Q Fail 0 Pass 0 Fail [�] Pass 0 Fail <br /> Was sensor removed for testing'? Eyes No NA RIYes n NA ✓ es E]No []NA ✓Yes []No®NA <br /> Was sensor properly replaced and ❑ � ❑ <br /> verified functional after testing? ✓ es Na A Yes o NA Yes No A �/Yes o 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(a)(6)) <br />