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Pape 21 of_3 <br /> a. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑Tank Manufacturer ®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 /> SIM <br /> Wank# — Tank# Tank# Tank# <br /> k <br /> Exempt From Testing?a ❑Yes o ❑Yes a 13 Yes o ❑Yes ❑No <br /> pacity: ALLONS ALLONS VALLONS GALLONS <br /> terial:nufacturer: may a GMlit i 7 <br /> Stored: <br /> Wait time between applying <br /> pressure/vacuuWwater and 15 Minutes 15 Minutes 15 Minutes 15 Minutes <br /> starting test: <br /> Test Stant Time: Z'o <br /> Initial Reading(RO: "HG —./0 "HG "HG "HG <br /> Test End Time: <br /> Final Reading(Re): .--/0 b HG /0 "HG —/0 HG "HG <br /> Test Duration: 1 Hour 1 Hour 'I Hour 1 Hour <br /> Change in Reading(Rr R,): "HG — "HG -- -- "HG "HG <br /> Pass/Fail ThreAold or Criteria: 2ro, Zero ero Zero <br /> Was sensor removed for testing? ❑Yes p No Ll NA Ufes ❑No ❑NA es ❑No D NA ❑Yes O No Q NA <br /> Was sensor properly replaced and ❑Yes ❑No ❑NA ❑Yes go ❑NA ❑Yes o ❑NA ❑Yes ❑No ElNA <br /> verified functional after te5titt 7 <br /> CommenfS—(include inforanation on repairs made prior to testing and recommended follow-up for failed tests) <br /> Arco#2133 <br /> --- 2908 W, Benjamin Hoff Dr. - <br /> � - Stockton, Ca. 95207 <br /> — - --- N05127R-SB 989 Repairs —- <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)1 <br /> LZO/%00 XVd SC:ST NOR 5002/tZ/OT <br />