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Page Z of� <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑Tank Manufacturer ® Industry Standard ❑Professional Engineer <br /> ❑Other(Specify) <br /> Test Method Used: ❑Pressure M Vacuum ❑Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: DIAL GAUGE Equipment Resolution:0 to 15" Hg Vacuum <br /> Tank# V-7 Tank# y Tank# 9/ Tank# <br /> Is Tank Exempt From Testing?' ❑Yes ❑No ❑Yes ❑No ❑ Yes ❑No ❑Yes ❑No <br /> Tank Capacity: GALLONS GALLONS GALLONS GALLONS <br /> Tank Material: �„U ' <br /> Tank Manufacturer: <br /> Product Stored: � <br /> Wait time between applying <br /> pressurelvacuum/water and 15 Minutes 15 Minutes 15 Minutes 15 Minutes <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(RO: /p"HG /0-HG /o" HG "HG <br /> Test End Time: //,•yS `Y=`/ 91Zv <br /> Final Reading(RF): /e "HG /p "HG /o" HG "HG <br /> Test Duration: 1 Hour 1 Hour 1 Hour 1 Hour <br /> Change in Reading(RF-RD: pf"HG 0 -HG O " HG "HG <br /> Pass/Fail Threshold or Criteria: Zero Zero Zero Zero <br /> Test Result: 01 Pass ❑Fail IN Pass El Fail ® rPass ❑Fail - ❑ Pass ❑Fail <br /> Was sensor removed for testing? ❑ Yes ®No ❑NA ❑Yes ®No ❑NA ❑Yes ®No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and ®Yes ❑No ❑NA ®Yes ❑No ❑NA ®Yes ❑No [INA ❑Yes ❑No ❑NA <br /> verified functional after testin ? <br /> Comments—(include information on repairs made prior to testing,and recommended follow-up for failed tests) <br /> Chevron#95264 <br /> 3775 N. Tracey Blvd. <br /> Tracey, CA 95376 <br /> N05207-SB 989 Testing <br /> Secondary containment systems where .,.....,....6..,...,..._..__.., ....,...tors 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)) <br />