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SWRCB, January 2002 +15p : TWE5 . jLf(1u 21 W) <br />Test Method Developed By: <br />Test Method Used: <br />Test Equipment Used: <br />[Product <br />Tank Exempt from Testing?j <br />2Capacity:rer: <br />it time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />Initial Reading (R,): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF-&): <br />Pass/Fail Threshold or Criteria: <br />1-1 Other (Sped) <br />[?Pressure <br />0 Other (Spec) <br />r• <br />Tank 4 <br />❑ Yes :1 No <br />Page of <br />rvezified <br />nsor removed fortestmg? ] tca o 0 NAL. Yes 0 No 0 NA Yes 0 No 0 NA 0 Yes C No Q NAnsor properly replaced and'e;; Q No A <br />functional after testing> 0 Yes C No ❑ NA , Yes Q No Q N.A. G Yes 0 No Q NA <br />Comments — (include information to nrpairs made prior to testing, and recommended follow-up for failed tests) <br />Secondary containment systems where tlu continuous monitoring automatically monitors both the primary and secondary <br />containment, such as systems that are hydrt totally monitored or under constant vacuum, are exempt from periodic containment <br />testing. {California Code of Regulations, T :la 23, Section 2637(a)(6)) <br />�''d at6919b6021 sJ040eIU03 AI aIT13 eb1=L0 21 LO 2nd <br />