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SWRCB,January 2002 <br /> Page of, <br /> a. TANS AN4 NULAa TE <br /> Test Method Developed By: 0 Tank Mamtf tchtrer ZY Standard 0 Professional Engineer <br /> 0 Other fxp ,if) <br /> Test Method Used: 0 Pressure . aramm ❑Hydrostauc <br /> 0 Other(Speczft) <br /> Ted Eoonent Used: Equiument Resolution: <br /> Om OEM= <br /> Tank# Tank# 1 Tank#jTank# <br /> Is Tank Exempt From Testmg?t 0 Yes o 0 Yes O Yeso O Yes D No <br /> Tank Capacity: QU C3 U G!l z�O P/ <br /> Tank Material: <br /> Tank AlantActurer: 1 <br /> Product Stored: O 4 e <br /> Wait time between applying <br /> ��y <br /> startingtest: <br /> Test Start Time: /d p�� �� v Ir 47 <br /> Initial Reading W: /Q <br /> Test End Time: <br /> Find Reading(Rp): <br /> Test Duration: <br /> Cbange in Reading atr-IQ: <br /> PawFaii Threshold or Criteria: ll/O',2 <br /> Was sensor removed for testing? es ONo DNA a-Yeses ONo DNA -Yes ONo DNA D Yes ONo DNA <br /> Wassensoredfim propedone firm ting?ed R'Yes 0 N 0 N & es DNo DNA (3Yes ❑No ONA OYes DNo DNA <br /> verified functiaml ager ? <br /> Comments—rwelude information on repairs made prior to testing and reconwrended flaw-up jar tests) <br /> Secondary containment systems where the contmucus momtonng automatically mormors both the primary and secondary <br /> containment, such as systems that,are hydrostatically monitored or under constant vacuum, are exempt from periodic <br />