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Page of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑Tank Manufacturer ® Industry Standard ❑Professional Engineer <br /> ❑Other(Specify) <br /> Test Method Used: ❑Pressure ® Vacuum ❑Hydrostatic <br /> ❑ Other(Specify) <br /> Test Equipment Used: DIAL GAUGE Equipment Resolution: 0 to 15"Hg Vacuum <br /> Tank# 4-7 Tank# Tank# q Tank# <br /> Is Tank Exempt From Testing?' ❑Yes ❑No ❑Yes ❑No ❑ Yes ❑No ❑Yes ❑ No <br /> Tank Capacity: GALLONS GALLONS GALLONS GALLONS <br /> Tank Material: <br /> Tank Manufacturer: <br /> Product Stored: �� Y 7 G <br /> Wait time between applying <br /> press ure/vacuum/water and 15 Minutes 15 Minutes 15 Minutes 15 Minutes <br /> starting test: <br /> Test Start Time: -q-; o <br /> Initial Reading(Ri): !d' HG /o" HG /O HG " HG <br /> Test End Time: f -- 30 :! S D-' v <br /> Final Reading(RF): po" HG c " HG lo" HG "HG <br /> Test Duration: 1 Hour 1 Hour 1 Hour 1 Hour <br /> Change in Reading(RF-RD: pr" HG ,1Y"HG QS" HG "HG <br /> Pass/Fail Threshold or Criteria: Zero Zero Zero Zero <br /> Test Result # Pass ❑ a ss s -s E 'aas 1� <br /> Was sensor removed for testing? ❑Yes 0 No ❑NA ❑Yes ®No ❑NA ❑Yes ®No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and Yes ❑No ❑NA t,Yes ❑No ❑NA KYes ❑No ❑NA ❑Yes ❑No ❑NA <br /> verified functional after testing? jK <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> Arco 6313 <br /> 1100 S. Main St. <br /> Manteca, Ca 95337 <br /> N05789 SB 989 Testing <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. ICal ifornia Code of Regulations,Title 23,Section 2637(a)(6)} <br />