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SWRCB, January 2002 Page of <br /> 4. TANK ANNULAR TES <br /> Test Method Developed By. ❑Tank Manufacturer k6dustry Standard ❑Professional Engineer <br /> ❑ Other(Specify) <br /> Test Method Used: ❑Pressure k<cuum ❑Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> Film <br /> r 4 orx_r,n� ;e� Tank# Tank# Tank# "j Tank# <br /> Is Tank Exempt From Testing?' ❑Yes o ❑Yes o ❑Yes V<o ❑Yes G o <br /> Tank Capacity: <br /> Tank Material: s <br /> Tank Manufacturer: U <br /> Product Stored: (�/1i� p `✓� L <br /> Wait time between applying <br /> pressure/vacuum/water and _ <br /> starting test: %o <br /> Test Start Time: Le) �I" g a v <br /> Initial Reading(RI): �/y ,�fj l <br /> Test End Time: : �7 <br /> Final Reading(RF): <br /> Test Duration: A7 <br /> Change in Reading(RF-R& O f ) O <br /> Pass/Fail Threshold or Criteria: / /'� ��p �+ yD �e5� <br /> T :BesuIt± bass. CI Fast;: Pass © aiF s: ❑fail ass 13'_Fag <br /> Was sensor removed for testing? es ❑No ❑NA es No ❑NA "es No ❑NA es No ❑NA <br /> Was sensor properly replaced and es ❑No 11 NA es ❑No 11 NA es ❑No ❑NA es ❑No P,NA <br /> verified functional after testin ? <br /> Comments— (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> I 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 />