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SWRCB,January2002 Page of I <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: t_q_ank Manufacturer 11Industry Standard p Professional Engineer <br /> /D�Other(Specify) <br /> Test Method Used: ❑Pressure - '�'Yacuum O Hydrostatic <br /> Q Other(S !fy) <br /> Test EquipmetttUsed:Dur 4lduu+ +itu / le�ltlrti Ott ft.1 lJ<s l{' Equipment Resolution: —VA,—,3A <br /> ti .�A � �.- .. w.pa- .. , .rk)2'.' 'N.?\ .<. .SA ?.?+Y t':c `. -66 L' h � `FF z.4Y•,,w,inr. ':.Uid. <br /> !. <br /> Tank Z Tak#Tankdj Tank#x <br /> 1's Tank Exempt From Testing?' ❑Yes . W4o ❑Yes o ❑Yes ❑No .E ❑Yes ❑No <br /> Tank Capacity: I2 p3,2-6-,q1/0,+5 /1PZ,3 z-G'r* <br /> Tank Material: ;re"14a !-. D.", arres 4 41LL� <br /> Tank Manufact(tter: <br /> Product stored: DieseL^ <br /> Wait time between applying <br /> pros acuu r and <br /> Stortingtest: <br /> Test Start Time: <br /> Initial Reading(Rt): <br /> .Test find Time: <br /> Proal Reading(RrR <br /> Testrhtration: LtO ✓ lit.(tr.-W . .. . <br /> Change in Reading("k <br /> Pass/Fail Threshold orCriteria: pJbLa,w,"- 11 <br /> Test Result, 6u D Fail • Pass ❑Fail ❑ Paaa' ❑ all Pa» ❑ B <br /> Was sensor removed for testing? PYes ❑No ❑NA es ONO DNA ❑ es. QNo A Yes qNo ❑ <br /> Was sensor properly replaced aud -RYes ❑No ❑NA es. ❑No DNA Yw.: ❑No ❑ Yes ❑No GNA <br /> verified functional after testing? <br /> . <br /> Comments-ftnelade information on repairs made prior to terrier& aad twowmen dedfollo�ap forforled tests) <br /> Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br /> comaimnemt such as systems that are hydrostatically monitored or under constant vacuum,are exempt from perlodfc contaimnent <br /> testing. tCalifomia Code of Regulations,Title 23, Section 2637(a)(6)) - <br />