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SWRCB, January 2002 <br />4. TANK ANNULAR TESTING <br />Page of <br />Test Method Developed By: X Tank Manufacturer ❑ Industry Standard ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: ❑ Pressure X Vacuum ❑ Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: Gast Vacuum PumpNacuum Gauges <br />Tank # 1,2&3 <br />Is Tank Exempt From Testing?' ❑ Yes x No <br />in Hg. <br />Equipment Resolution:-1/2-30Hg. <br />Tank # <br />Tank # <br />Tank # <br />❑ Yes No <br />Yes No <br />Yes No <br />Tank Capacity: <br />22K Split 12/5/5 <br />Tank Material: <br />Glass/Steel <br />Tank Manufacturer: <br />Modern Welding <br />Product Stored: <br />87/91/Diesel <br />Wait time between applying <br />vacuum and startingtest: <br />30 Minutes <br />Test Start Time: <br />10:35 <br />Initial Reading (RI): <br />-10 Hg. <br />Test End Time: <br />12:35 <br />Final Reading (RF): <br />-10 Hg. <br />Test Duration: <br />2 Hours <br />Change in Reading (RF -R,): <br />0 Hg. <br />Pass/Fail Threshold or Criteria: <br />No loss in Hg. <br />Test Result: <br />X Pass ❑ Fail <br />X Pass ❑ Fail <br />X Pass ❑ Fail <br />❑ Pass ❑ Fail <br />Was sensor removed for testing? <br />X Yes No NA <br />X Yes 1 No j NA <br />X Yes ❑ No ❑ NA <br />Yes :-i No '- NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />X Yes ❑ No 9 NA <br />X Yes 7 No n NA <br />X Yes No -INA <br />Yes l No NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <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 />