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SWRCB, January 2002 <br />4. TANK ANNULAR TESTING <br />Page 2— of 7 <br />Test Method Developed By: ❑ Tank Manufacturer Industry Standard ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: ❑ Pressure Vacuum ❑ Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: <br />Tank # Tank # <br />Equipment Resolution: <br />Tank # Tank # <br />Is Tank Exempt From Testing?' ❑ Yes [p No <br />❑ Yes kNo <br />❑ Yes ❑ No ❑ Yes ❑ No <br />Tank Capacity: <br />Tank Material: jteel - F htr6l-4 <br />5-teel -Eby6,/.,,55 <br />Tank Manufacturer: J -0 c., 'r <br />p ✓ Y <br />Product Stored: Lp, 1,,;,cl je <br />Pre it ',n rh <br />Wait time between applying <br />pressure/vacuum/water and <br />startin test: 1b i r% <br />Test Start Time: 1.40 <br />Initial Reading (Rj): — I it <br />Test End Time: <br />Final Reading (RF): — ) <br />Test Duration: <br />Change in Reading (RF-Rj): QZ <br />Pass/Fail Threshold or Criteria: <br />Test Result: Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail ❑ Pass ❑ Fail <br />Was sensor removed for testing? Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced and ))Yes ❑ No ❑ NA <br />verified functional after test <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br />Comments — (include information on repairs made prior to testing, and recommended <br />To,, kip spy%I- <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)) <br />