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SWRCP„ January 2002 <br />Test Method Developed By: <br />Test Method Used: - <br />0 0 <br />Page 2- of <br />4. TANK ANNULAR TESTING <br />Plank Manufacturer ❑ Industry Standard ❑ Professional Engineer <br />❑ Other (Spec) <br />❑ Pressure Q Vacuum 0-14 ydrostatic <br />❑ Other (Sbecifv) <br />Test Equipment Used: <br />Is Tank Exempt From Testing?' <br />6 �f c 4 1, t S't? 1-1,1 , <br />Tank # L Tank # y. <br />❑ Yes J3No '` ❑ Yes " -gfgo <br />Equipment Resolution: `!1- /3- <br />Tank # 7 <br />' ❑ Yes c0go <br />Tank # <br />❑ Yes # No <br />Tank Capacity: <br />L 1 L <br />lo 1e -- <br />Tank Material: <br />r Iry <br />Tank Manufacturer: <br />. K <br />' <br />Product Stored: <br />S t� ;7(n X' <br />7 ? '7 t°l�✓ <br />1010: � `v�' <br />, <br />Wait time between applying <br />pressure/vacuater and <br />startingtest: <br />r n e I <br />t° ��t f] u <br />�� q t r t�' <br />pp� <br />� h 11!f <br />Test Start Time: <br />T.- o i-) <br />`� '. to <br />0 <br />Initial Reading (Ri): <br />- i " r�- <br />Test End Time: <br />6 `. �t <br />9 d t 1 <br />7,.t <br />� 1. ; O , <br />Final Reading (RF): <br />m . •t ',a,� <br />" .75 <br />,:;� - <br />M� <br />Test Duration: <br />I`\ rbc V <br />tt I <br />Change in Reading (RF-RO: <br />�` E { �� <br />r� �. I �'� . <br />"1 �-+.• .� <br />3 . <br />� � 1 <br />Pass/Fail Threshold or Criteria: <br />v l� l asg est 1 �� <br />. � r� �`� " 4 t <br />l v f S <br />Test Result: <br />b Pass Ef/Fail <br />,"Pass ` ❑ Fail <br />,.0—Pass ❑ Fail <br />p 'Pass ❑ Fail <br />Was sensor removed for testing? <br />Ves ❑ No ❑ NA <br />[ Yes ❑ No ❑ NA <br />.(bVes ❑ No ❑ NA <br />n 'Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testin ? <br />❑lyes ❑ No ❑ NA <br />C7•�Vles ❑ No ❑ NA <br />, ,Yes ❑ No ❑ NA <br />Q`Yes ❑ 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, Tide 23, Section 2637(a)('6)) <br />