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_ Page 2 of 9 <br /> 1. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑ Tank Manufacturer ®Industry Standard ❑Professional Engineer <br /> []Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum ❑Hydrostatic <br /> [-]Other(Specify) <br /> Test Equipment Used: See attached testing procedures Equipment Resolution: <br /> Tank# Tank# Tank# Tank# <br /> Is Tank Exempt From Testing?' ❑Yes ❑No ❑Yes ❑No ❑ Yes ❑No ❑ Yes ❑No <br /> Tank Capacity: <br /> Tank Material: <br /> Tank Manufacturer: <br /> Product Stored: <br /> Wait time between applying <br /> pressure/vacuum/water and 30 minutes 30 minutes 30 minutes 30 minutes <br /> starting test: <br /> Test Start Time: WET WET WET <br /> Initial Reading(R): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-Rj): <br /> Pass/Fail Threshold or Criteria: 0.00 0.00 0.00 0.00 <br /> Test Result: ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail <br /> Was sensor removed for testing? ❑Yes❑No❑NA ❑Yes❑No ❑NA ❑Yes❑No❑NA ❑Yes❑No LINA <br /> Was sensor properly replaced and ❑Yes[:]No[-INA ❑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 /> WETANNULARS NOT TESTED <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 />