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SWRCB, January 2002 Page of <br /> 4. TANK ANNLTLAR TESTING <br /> Test Method Developed By: ❑ Tank Nianufacturer ❑ Industry Standard Professional Engineer I <br /> ❑ Other(Specify) <br /> Test Method Used: ❑Pressure El Vacuum = Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> `Mar'f fn.i <br /> r0.1 zn Tank# Tank# � Tank# I Tank# Y1: <br /> t,.., <br /> Is Tank Exempt From Testing?i E Yes No ❑Yes u No I ❑ Yes ❑No ❑Yes ❑ No <br /> Tank Capacity: <br /> Tank Material: <br /> Tank Manufacturer: <br /> Product Stored: I <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(Ri): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-Rj): <br /> Pass/Fail Threshold or Criteria: j <br /> Test Result: 0.Pass ❑Fail. ❑ Pass d.Fail.. ElPass ❑Fair ; ❑ Pass ❑ Fall: _. <br /> Was sensor removed for testing? ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes =No ❑NA j ❑Yes ❑No NA <br /> Was sensor properly replaced and <br /> verified functional after testine? ❑'Yes ❑No ❑NA 'El Yes No ❑NA =Yes G No ❑NAI Yes No NA <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for 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 />