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rage <br /> SWRCB, MY 2002 <br /> 4.TANK ANNULAR TESTING Stamdard � Professional Engineer <br /> Test Method Developed by: Tank Manufacturer industry <br /> 01 other(Specify) [3 Hydrostatic <br /> Vacuum <br /> Test Method Developed by- 0 PressureC3 other(Specify) <br /> Equipment Resolution: <br /> Test Equipment Used: TAnk# Tank# <br /> ,��# � Tank# 2— � No � yes � Na <br /> [� Yes (a No � Yes <br /> is Tank Exempt From Testing?' ❑ yes No D 0 Q <br /> �t � <br /> Tank Capacity: o S L <br /> Tank Material: S <br /> Tank Manufacturer: � � <br /> Product Stored: <br /> Wait time between applying press rel � <br /> vacuum/water&starting test: <br /> Test Start lime: <br /> 1 ,S d ' 4 <br /> d 'v� .� <br /> initial Reading(R+)= g3 D a <br /> Test End Time: ,t <br /> Final Reading(RIFY b s <br /> r <br /> Test Duration: ' <br /> Change in Reading(RF_Ri): Q, p <br /> C9,C> PASS FAIL Q PASS FA'L <br /> Pass 1 Fail Threshold or Criteria: PASS C1 FAIL C3 PASS FSI' NA <br /> SULT: � [3 NA C]Yes 0 No C]NA 0 Yes C)No, <br /> TEST RE Yes No <br /> '� <br /> Was sensor removed for testing? Yes No NA Yes C3 No C1 NA Q Yes Q No NA <br /> Was Sensor properly replaced& Yes C3 No NA Yes C]No C3 NA <br /> verified functional after testing. 1 11111,41 Yes No NA <br /> Was Sensor properly replaced& o e <br /> verified 1jinctiolizi,nal ailed tests} <br /> Comments—Onclwie information on repairs made Prior ja jesting, and recommended follow-up for f <br /> and secondary contain- <br /> under constant vacuum, are exempt from periodic containment testing. <br /> } Secondary containment systems where the continuous monitoring automatically monitors bath the primary <br /> rnent, such as systems that aro hydrostatically monitor or <br /> (California Code of Regulations,Title 23,Section 2637 (A)( )) <br />