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4 � <br /> Page of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑Tank Manufacturer ID 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#'E;7 Tank#a Tank# Tank# <br /> Is Tank Exempt From Testing?' ❑Yes ❑No ❑ s ❑No ❑Y ❑No ❑Yes ❑No <br /> Tank Capacity: j2, GALLONS jt)= GALLONS �0' GALLONS GALLONS <br /> Tank Material: 6�t—��.�s� <br /> Tank Manufacturer: <br /> Product Stored: so LLt.z <br /> Wait time between applying <br /> pressure/vacuum/water and 15 Minutes 15 Minutes 15 Minutes 15 Minutes <br /> starting test: <br /> Test Start Time: r P oJ % /✓ <br /> Initial Reading(Rj): j( "HG HG / !? " HG "HG <br /> Test End Time: 0J;' (� r°� <br /> Final Reading(RF): /0 " HG &2 "HG J(7 " HG "HG <br /> Test Duration: 1 Hour 1 Hour 1 Hour 1 Hour <br /> Change in Reading(RF-R,): "HG " HG 0 01 " HG "HG <br /> Pass/Fail Threshold or Criteria: Zero Zero Zero Zero <br /> MuiiUPWas sensor removed for testing? ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> verified functional after testing? <br /> Comments—(include information on repairs made prior to testing,and recommended follow-up for failed tests) <br /> Arco #2133 <br /> 2908 W. Benjamin Holt Dr. <br /> Stockton, CA. 95207 <br /> N05127 — SB 989 Testing <br /> t Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br /> -- - <br /> containment,such as systems that are hydrostatically monitored or un[r constant vacuum,are exempt from periodic con inmen <br /> testing. {California Code of Regulations,Title 23,Section 2637(a)(6)) <br />