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SWRCB,January 2002 Page ` of <br /> 4. 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(Spec)' <br /> Test Equipment Used: Equipment Resolution: 3d ii <br /> Tank#I Tank# Tank# Tank# <br /> Is Tank Exempt From Testing?' ❑Yes o ❑Yes I Io ❑Yes ,kNo ❑Yes ❑No <br /> Tank Capacity: t <br /> t L K- !z. <br /> Tank Material: ee <br /> Tank Manufacturer: 1 <br /> Product Stored: <br /> Wait time between applying <br /> pressure/ acuum/-w-hter and <br /> starting test:= Eta!+ <br /> Test Start Time: <br /> Initial Reading(111): 10 H <br /> Test End Time: ; ! 2, <br /> Final Reading(RF): <br /> z <br /> 2 <br /> Test Duration: <br /> Change in Reading(RF-R,): <br /> Pass/Fail Threshold or Criteria: / °� ` Ia <br /> Test Result: ,RPass ❑Fail d°`'Pass ❑Fail sir Pass ❑Fail L7`Pass ❑Fa'1 <br /> Was sensor removed for testing? Z Yes ❑No ❑NA 'Yes ❑No ❑NA - es ❑No ❑r <br /> Was sensor properly replaced and es ❑No ❑NA es ❑No ❑NA Yes ❑No -❑NA O Yes ❑No ❑N <br /> verified functional after testing? <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 />