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SWRCB,January 2002 • • Page 2 of 7 <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑Tank Manufacturer lZlndustry Standard ❑Professional Engineer <br /> L1 Other(Spec) <br /> Test Method Used: ❑Pressure X Vacuum ❑Hydrostatic <br /> 11 Other(Sped) i <br /> Test Equipment Used: Equipment Resolution: <br /> 707dern <br /> Tank# Z Tank# Tank# <br /> Is Tank Exempt From Testing?' No ❑Yes X No ❑Yes ❑No ❑ Yes ❑No <br /> Tank Capacity: .3 �/G 4 j <br /> Tank Materialtee CC <br /> Tank Manufacturer: �cl,'n lhod p n h,-f <br /> Product Stored: g7 0,' . ,e <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: U r•,,'h <br /> Test Start Time: U fi U <br /> Initial Reading(111): f <br /> Test End Time: <br /> Final Reading(RF): _ <br /> Test Duration: �D <br /> Change in Reading(RF-Rj): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: Pass ❑Fail ❑ Pass ❑Fail` ❑ Pass ❑Fail ❑ Pass 0 Fail <br /> Was sensor removed for testing? Yes ❑No DNA L1Yes �No 11NA ❑Yes ❑No [INA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and <br /> verified functional after testing? [ Yes ❑No ❑NA ❑Yes [dNo ❑NA ❑Yes ❑No ❑NA ❑Yes ElNo ❑NA <br /> Comments— (include information on repairs made prior to testing and recommended ollow-up orfailed tests) <br /> 1,1nci hl-e_ J-d 40 j 11 fin i,4Inr Z 5(t)j-o OLi 5t-4e k 4ft-ht l-;p <br /> of �n k <br /> SPnSUr <br /> 65s GvaN . C - <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)1 <br />