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06/03/2004 07:/58% 20946834 FIFTH FLOOR PAGE 04
<br />i v 1, 7 �n
<br />WRCB, fanuary 2001
<br />(v / / CO �� �,
<br />�/ Page Lof
<br />4. TANK ANNULAR TESTINC
<br />Test;Method Developcd By: .Tank Manufacturer n Industry Standard D Professional Engineer
<br />Other (Sped)
<br />Test Mothod Used: 'Pressure '1 vacuum C] Hydrostatic
<br />0 Other (Specify)
<br />Test Equipment Used: L ui merit Resolution:
<br />Tank # f Tank # Tank # Tank #
<br />is Tank Exempt From Testing?' Cl Yes �iNo : 4'esIo L Yes r 10 Ycs No
<br />Tank Capacity
<br />5 p o
<br />1 0 0 0
<br />—
<br />Tank Material:
<br />e el—
<br />f�oeL
<br />Tank Manufacmrer:
<br />7
<br />7
<br />- ---
<br />Product Stored:
<br />is reL14—
<br />Wait time between applying
<br />pressure/vacuum/water and
<br />starling test:
<br />!/
<br />Test Start Time:
<br />i..'sitml Treading (Ri):
<br />Test End Time:
<br />C7
<br />,Final Reading (R,):
<br />PS/
<br />Phi
<br />Testpuration
<br />30••�
<br />�p,"•�
<br />Change in Reading (RrR,):
<br />©
<br />0
<br />Pass/Fail Threshold or Criteria:
<br />;��,cq�i��st�Yt llt�„ G a
<br />. ,• , „ I . ,.
<br />v. ,...
<br />h,' �� ,;.,,, , I , ',i;
<br />Jd ' �S ', , all.'.,,.
<br />�
<br />, „r„ ... - ,, �
<br />)"'!' d ' 1".1'
<br />"4_.s§s il��� �'tkr.l.ia..
<br />,,; Iliu,'1•,111�i >,p:•.,>;, ,,,.. ,., ,
<br />li . b l
<br />>':gs � Xt1,.tt:,:l �;ti� i{ii:wl� .t�l
<br />Was sensor removed for testing?
<br />g
<br />'Yes ❑ No D NA '
<br />'Yes D No 0 NA
<br />•,.••„
<br />L- Yes D No r NA
<br />7 Yes _� No DNA
<br />Was sensor properly replaced and
<br />cs n No n NA
<br />verified `unctional after testing?
<br />,Yes _: No 0 NA
<br />D Ycs Cl No :� NA
<br />D Yea n No C NA,
<br />COM WCTttS — (include information on repairs made prior to testing and recom-mendedfollow up for• failed tests)
<br />W .q v o 77
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<br />er— j6 A p-
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<br />G G. 0- V4M e e V-
<br />1
<br />1 Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary
<br />containment, such as sysmcma that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment
<br />testing. {California Code of Regulations, Title 23, Scction 2637(x)(6)}
<br />
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