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*4. .i <br /> .002 Page 4 of <br /> 4. TANK ANNULAR TESTING <br /> ,oil Developed By: 31�'fank Manufacturer 7 Industry Standard ❑Professional Engineer <br /> ❑Other(Specify) <br /> .Method Used: ❑Pressure .Vacuum 0 Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: -- <br /> Q Equipment Resolution ��_�� r� <br /> Tank# 1 Tank# Tank# Tank# <br /> Is Tank Exempt From Testing?' 0 Yes ><rlo 0 Yes ❑No 0 Yes ❑No 11 Yes ❑No <br /> Tank Capacity: /00 G G i <br /> Tank Material: {e <br /> Tank Manufacturer: - O 1"*1 <br /> Product Stored: <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: '2-:27 <br /> Initial Reading(R,): <br /> Test End Time: <br /> Final Reading(RF): t <br /> Test Duration: <br /> Change in Reading(RF-R,): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: Pass 0 Fail Z 0 Pass 0 Fail 0 Pass 0 Fail <br /> Was sensor removed for testing? Yes ❑No ❑NA E]yes ❑No ❑NA 0 Yes ❑No [DNA <br /> Was sensor properly replaced and Q' <br /> verified functional after testing? yam+es ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Comments—(include information on repairs made prior to testing and recommendedfollow-up forfailed tests) <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)) <br />