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SW'RCB, Januar}, 2002 <br />4. TANK ANNULAR TESTING <br />Test Method Developed By: ❑ Tank Manufacturer ® Industry Standard ❑ Professional Engineer <br />❑ Other (Specie) <br />Test Method Used: ❑ Pressure ❑ Vacuum ® Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: Veeder Root TLS -350 <br />Equipment Resolution: 2417 <br />s <br />"Tank # T-4 87 <br />Tank # T-5 91 <br />Tank # Tank # <br />Is Tank Exempt From Testing?' <br />® Yes ❑ No <br />® Yes ❑ No <br />❑ Yes ❑ No ❑ Yes ❑ No <br />Tank Capacity: <br />15,000 gal <br />10,000 gal <br />Tank Material: <br />D.W. Fiberglass <br />D.W. Fiberglass <br />Tank Manufacturer: <br />Xerxes <br />Xerxes <br />Product Stored: <br />87 unleaded <br />91 Premium <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />0 IL <br />A G 0 7 2017 <br />Test Start Time: <br />Initial Reading (Rj): <br />ENVIRONMENTAL HCALT <br />Test End Time: <br />DEPARTMENT <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF-Ri): <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail ❑ Pass ❑ Fail <br />Was sensor removed for testing? <br />❑ Yes ®No ❑ NA <br />[:]Yes ®No ❑ NA <br />❑ Yes ❑ No ❑ NA Dyes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />❑ties No <br />® DNA <br />Dyes ®No DNA <br />Dyes ❑No DNA ❑1'es El -,o DNA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />1. Above tanks are brine filled tank annulars. <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. { Cal ifomia Code of Regulations, Title 23, Section 2637(a)(6)) <br />