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Page-4q;?—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 ®Vacuum ❑Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: DIAL GAUGE Equipment Resolution: 0 to 15"Hg Vacuum <br /> Tank# Tank# Tank# 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: <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 CRO: <br /> "HG "HG "HG "HG <br /> Test End Time: <br /> Final Reading(RF): <br /> "HG "HG "HG "HG <br /> Test Duration: 1 Hour 1 Hour 1 Hour 1 Hour <br /> Change in Reading(RFR): "HG "HG "HG <br /> "HG <br /> Pass/Fail Threshold or Criteria: Zero Zero Zero Zero <br /> _ _ � . . <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 ❑NA ❑Yes ❑No [INA <br /> verified functional after testing? <br /> Comments—(include information on repairs made prior to testing and recommended follow-up forfailed tests) <br /> Costco#658 <br /> 3250 W. Grant Line <br /> Tracy,Ca 95304 <br /> Nick Harvey <br /> #09009 SB 989 <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 />