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' SWRC8, January 2002 <br />4_ TANK ANNTTLAR TF.9TiNG <br />Page �- of 7 <br />T t Method Developed By: ❑ Tank Manufacturer ❑ Industry Standard ❑ Professional Engineer <br />Test Method Used: _ ... _.C1.Pressure--"�` m----- _ ❑ Vaccu` ❑ Hydrostatic <br />❑ Other (Spec) <br />Test Egttipment Used: Equipment Resolution: <br />Tank # Tank # Z Tank # 3 Tank # <br />Is Tank Exempt From Testing?'es ❑ No <br />es ❑ No es ❑ No <br />❑ Yes El <br />Tank Capacity: <br />p It— <br />TankMaterial: ct <br />i U (. r e s <br />Tank Manufacturer: vI jC" (u �,� <br />vae c�S Am- C (Om <br />Product Stored: , e eC� <br />r�lu✓ r�;wun <br />Wait time between applying <br />pressure/vacuum/water and <br />startingtest: r� Covv�vtt h <br />/ 6 <br />t- mift w "S <br />C�S Wi6 <br />Test Start Time: <br />Initial Reading (Rj): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF -RI): <br />Pass/Fail Threshold or Criteria: <br />Test Result: a ❑ ail <br />❑ P ss ail ❑ ss ❑ bail <br />Pass ❑ Fa 1 <br />Was sensor removed for testing? ❑ No A <br />LO <br />❑ ❑ No NA ❑ es ❑ No ❑a A <br />Yes ❑ No ❑ <br />Was sensor properly replaced and ❑ No ❑ <br />verified functional after testing? <br />Yes ❑ No ❑ Yes l] No ❑ NA <br />ti <br />❑ Yes ❑ No ❑ NA <br />i <br />Comments <br />/I--- (include in ormation on re airs made rior to testin , and recommended ollow-u or ailed tests) <br />/ N jGs /1 u CDYI i n u U -L- 4U 6t1 ! . cwt <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)1 <br />