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SWRCB,January 2002 Page2- of <br /> 4. TANK ANNULAR TESTING <br /> 'fest Method Developed By: t� 'Tank Manufacturer - dustry Standard ❑Professional Engineer <br /> LJAher(Specify) <br /> Test Method Used: ❑ Pressure 'Vacuum U Hydrostatic <br /> ❑Other(,Specify) <br /> Test Equipment Used: ��5 a t/Uc�c � (Jci�u�ss a� r, 1 fry _ Equipment Resolution: - Z_36 F� <br /> Tank# I_ Tank# nk# Tank# �< <br /> Is Tank Exempt From Testing?' ❑ Yes P<No F.I Yes ❑No "I Yes ❑No t LI Yes ❑ No <br /> 'Tank Capacity: jL <br /> 'Tank Material: r A2,v [ 4S <br /> "Tank Manufacturer: a K(&io wrx <br /> Product Stored: Sd-,e 44-r-,( <br /> Wait time en applying <br /> pressurekacuumiwater and I - 1 <br /> startingtes . v�ULc V <br /> 'fest Start Time: 1 1 t <br /> Initial Reading(Ri): <br /> Test End Time: <br /> Final Reading(RF): 5 <br /> Test Duration: /Lau v <br /> Change in Reading(RF-Ri): Zz <br /> Pass/Fail Threshold or Criteria: Ne Lossrri <br /> Test Result: Pass ❑ Fail ❑ ass Fail nNoE01 <br /> ❑ Piss ❑Fa <br /> Was sensor removed for testing? ❑Yes o ❑NA ❑ es ❑No NA ❑ ❑Y ❑No ❑ <br /> Was sensor properly replaced and ❑Yes ❑No PfA es ❑No ❑ A ❑ ❑Y ❑No ❑N <br /> verified functional after testin ? �, <br /> Comments—(include information on re airs made prior to testing, and recommended ollow-u orfailed tests) <br /> rti,(L 4s 014 till la✓de.0 4- W6'5 e%2 , 1414U14/a✓ b4,44 119u <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 />