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. Dec X21 2007 11 : 56AM HP LASERJET FAX • p. 4 <br /> • <br /> SWRCB,January 2002 Page Z of—L <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: 0 Tank Manufacturer falndustry Standard LHydrostatic nal Engineer <br /> ❑other lsp�1vJ <br /> Test Method Used: ❑Pressure 19-Vacuum 0 <br /> 0 Other(saectfy) <br /> Test Equipment Used fF u rh Q a E4uipmentn. <br /> Tank# M NLD Tank# L OEE Tank# &/',q Tank# <br /> Is Tank Exempt From Testing?[ 0 Yes IrNo 0 Yes VNo 0 Yes R140 ❑Yes ❑No <br /> Tank Capacity0 aVraCmA2LaU a OVO dOD�.�lr�oy <br /> Tank Material: �L S <br /> Tank Manufacturer: 1A <br /> Product Stored: tVLFD <br /> Wait time between applying <br /> Pressure/vacuum/water and <br /> sqnng test: /Q A) <br /> Test Start Time: / 0130 <br /> Initial Reading(R): 7 D Y D <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: btPueh8u <br /> Change in Reading(RF-Rrj: - <br /> Pass/Fail Threshold or Criteria: 3�� f'fSk bl.)I r S + f <br /> Ie�f3t lt: ❑ ElPOW .. 4Otl , <br /> Was sensor removed for testing? Wes 0 No 0 NA W'' es ❑No 0 NA Flipes 0 No [INA ❑Yes C No [INA <br /> Was sensor properly replaced and <br /> verified functional after testis ? Vi res 0 No 0 NA Vies C No 0 NA Q'Ifes 0 No ❑NA ❑Yes ❑No O NA <br /> Comments— (include information on repairs made prior to testing, and recommendedfollow-up or ailed tests) <br /> Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br /> containtnetlt, 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 />