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S WRCB, January 2002 4. TANK ANNULAR TESTING Page " of -77 Test Method Developed By: Tank Manufacturer ❑ Industry Standard ❑ Professional Engineer l 'Other (Spec) Test Method Used: ❑ Pressure XVacuum F-1Hydrostatic ❑ Other (S eco) ' `` +' Test Equipment Used: 64 " VS- ft(00 Equipment Resolution: —i Z - )D H� Tank # 77777 Tank # Z Tank # -3 ask # Is Tank Exempt From Testing?' ❑ Yes No ❑ Yes XN o ❑ Yes k90 ❑ Yes ❑ N Tank Capacity: 21C_ Z(L 12- A—'- Tank Material: S C[t2evollP SS ! byk l* SS Tank Manufacturer: (u e,,, Co✓H ,n Lt6pYr �OrN 1 h ��t1gu r Product Stored: /106&4,' -7% Wait ti applying pressure acuu ater and starting tes : L► U ftp GtA v / I 4 !4 U a k' Test Start Time: �2 ' ZQ 2; 20 1Z !2,d Initial Reading (RI): (Q fl- . Test End Time: ,2 U �� LU /,' 2.•(> Final Reading (RF): —ld fF Test Duration: l I't 6 t4 v % U Gr V U P Change in Reading (RF -RI): Pass/Fail Threshold or Criteria: �1p lcesS „� µ N d Los 1 j.7 jy 655?yl Test Result: RPass ❑ Fail Pass ❑ Fail Pass ❑ Fail ❑ Pass Fail Was sensor removed for testing? ❑ Yes o ❑ NA ❑ Yes No [INA ❑ Yes ❑ NA Yes ❑ No ❑ NA Was sensor properly replaced and ❑ Yes ❑ No ;NA verified functional after testing? ❑ Yes ❑ NQ*A ❑ Yes ❑ No ,K TA ❑Yes ❑ No NA Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) 1 Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. {California Code of Regulations, Title 23, Section 2637(a)(6))