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SWRCB,January 2002 Page of <br /> 4. TANK ANNULAR TES 'G- � <br /> Test Method Developed By: LE Tank Manufacturer r dustry Standard Professional Engineer <br /> ✓i Other(Specify) <br /> Test Method Used: ❑Pressure &Vacuum Hydrostatic <br /> Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> "`7 <br /> Tank# Tank# Tank# r Tank# <br /> Is Tank Exempt From Testing- Yes o -7 Yes G No i�Yes No C Yes C No <br /> Tank Capacity: i <br /> Tank Material: <br /> Tank Manufacturer. / t <br /> Product Stored: <br /> Wait time between applying <br /> pressure/vacuum/water and , <br /> starting test: ! �� <br /> Test Start Time: <br /> Iiritial Reading(Rj): i <br /> Test End Time: _7 G <br /> Final Reading(RF): '�..jo <br /> Test Duration: ;i I/ <br /> Change in Reading(RF-R4): <br /> Pass/Fad Threshold or Criteria: ✓� /� <br /> Pass C! .aiU. Pass Cj;l ail 1 Pass., 0 Favi I Q-.-Pass Q-:Fail <br /> Was sensor removed for testing? Ps 01 No ❑NAI ❑Yes 0 No NA Yes ❑No _NA j ❑Yes C No [I NA <br /> Was sensor properly replaced and As 5 No -1 NA ( G Yes 0 No ❑NA Yes ❑No '7'NA n Yes ❑No ❑NA <br /> verified functional after testing? <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up far failed tests) <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 <br />