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rage 2 0. <br /> SWRCB, MAY 2002 <br /> 4. TANK ANNULAR TESTING Professional Engineer <br /> Test Method Developed by: ❑ Tank Manufacturer Industry Standard ❑ <br /> Q Other(Specify) <br /> Test Method Developed by: ❑ <br /> Pressure Vacuum Q Hydrostatic <br /> Q Other(Specify) <br /> Equipment Resolution: <br /> Test Equipment Used: 116 C U <br /> Tank# 'I Sourh Tank# TAnk# Tank# <br /> ❑ Y � Q Yes 0 No ❑ Yes ❑ No ❑ Yes ❑ No <br /> Is Tank Exempt From Testing?' es No <br /> Tank Capacity: ® ®t) <br /> Tank Material: [�- <br /> Tank Manufacturer: U'A WA W h Ll. k <br /> J , <br /> Product Stored: �,• �elc �jG$0L <br /> Wait time between applying press re/ <br /> vacuum/water&starting test: <br /> Test Start Time: wl <br /> D ` <br /> Initial Reading(R.): , � <br /> Test End Time: r.w <br /> Final Reading(Rr): ~ <br /> Test Duration: 'S <br /> Change in Reading(Rr- R-): <br /> Pass/Fail Threshold or Criteria: U t/i^ +'' pASS Q FAIL <br /> TEST RESULT: CHPASS ❑ FAILJAIPASS ❑ FAIL Q PASS ❑ FAIL ❑ <br /> Yes No C1 NA No NA <br /> Was sensor removed for testing? Yes Q No Q NA Q�Yes❑No Q NA Q Q ❑Yes Q Q <br /> Was Sensor properly replaced & Yes <br /> verified functional after testing? Yes❑No❑NA Yes❑No❑NA Q Yes❑No❑NA ❑ ❑No NA <br /> Was Sensor properly replaced & �7 Yes No NA <br /> verified functional after testing? ly Yes❑No❑NA R1 Yes Q No❑NA Q Yes❑No❑NA Q ❑ <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 contain- <br /> ment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. <br /> (California Code of Regulations,Title 23,Section 2637 (A)(6)) <br />