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P/C <br /> Page 2 of 8 <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑Tank Manufacturer a] Industry Standard ❑Professional Engineer <br /> ❑Other(Specify) <br /> Test Method Used: ❑Pressure O Vacuum ❑Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> Tank # 1 Tank # Tank# Tank # <br /> Is Tank Exempt From Testing?' t7 Yes IM No ❑ Yes ❑ No ❑Yes ❑ No ❑ Yes ❑ No <br /> Tank Capacity: 20,000 <br /> Tank Material: Steel <br /> Tank Manufacturer: Unknown <br /> Product Stored: Gas/Diesel <br /> Wait time between applying <br /> pressureivacuum/water and starting 5 minutes <br /> test: <br /> Test Start Time: 11:30 AM <br /> Initial Reading(Ri): -10" <br /> Test End Time: 12:30 PM <br /> Final Reading(RF): -10" <br /> Test Duration: 1 hour <br /> Change in Reading(RF-Ri): 0 <br /> Pass/Fail Threshold or Criteria: 0 <br /> Test Result: lZI Pass O Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail Q Pass ❑ Fail <br /> Was sensor removed for testing? ©Yes Q No 0 NA 0 Yes ❑ No ❑ NA O Yes L1 No ❑ NA ❑Yes ❑ No l7 NA <br /> Was sensor properly replaced after ®Yes ❑ No O NA O Yes ❑ No O NA ❑Yes ❑ No O NA O Yes ❑ No l] NA <br /> testing? <br /> Comments (include information on repairs made prior to testing and recommended follow-up for failed tests) <br /> Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, <br /> such as systems that are hydrostatically monitored or under constant vacuum,are exempt from periodic containment testing. <br /> {California Code of Regulations,Title 23,Section 2637(a)(6)) <br />