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S WRCB, January 2002 <br />n <br />A T A NTI A NNTTT A R TF_CTTNC <br />n <br />Page j of <br />Test Method Developed By: <br />X Tank Manufacturer 0 Industry Standard 0 Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: <br />C Pressure <br />0 Other (Spec) <br />.Vacuum <br />0 Hydrostatic <br />Test Equipment Used: <br />is Tank Exempt From Testing?' <br />Tank #, _ <br />❑ Yes XNo <br />Tank #;_ <br />❑ Yes 1'No <br />Equipment Resolution: <br />Tank #3_s- �r Tank # <br />0 Yes §(No 0 Yes 0 No <br />Tank Capacity: <br />O 0c�D <br />® D <br />a !,O <br />Tank Material: <br />Tank Manufacturer: <br />/i,/� o <br />N <br />Product Stored: <br />e ' <br />Wait time between applying <br />pressure/vacuum/water and <br />startin test: <br />Q 1,�.•.. <br />,. <br />Test Start Time: <br />i ; 3 S <br />Initial Reading (Rj): <br />rt <br />®r/ <br />fQ t' <br />Test End Time: <br />r <br />"s— <br />Final Reading (RF): <br />Osr <br />Test Duration: <br />S- OIL - <br />2.0 <br />Y <br />Change in Reading (RF-Rj): <br />O <br />Pass/Fail Threshold or Criteria: <br />Test Result...:,.Fass„C]at�.>�r..,.�,t'�5,:�,aj <br />�.�sE.`...._�s. <br />Was sensor removed for testing? <br />LYes ❑ No DNA <br />;i� Yes 0 No C NA <br />21,Yes 0 No ❑ NA C Yes 0 No 0 NA <br />Was sensor properly replaced and <br />verified functional after testin ? <br />Yes ❑ No 0 NA <br />AYes 0 No ❑ NA <br />AYes 0 No 0 NA 0 Yes 0 No DNA <br />Comments — (include information on repairs made prior to teesting and recommended follow-up for falled tests) <br />_ -_-/ �✓..c-4..9.o-s9�`� �..o-L�r�.Yd�t..t.�re�u-�-..e� E.0 .�e.,e..r ..�. �/�.�.�L,� <br />1 Secondary containment systems whereLfhe continuous monitoring automatically monitors both the primary and secondary <br />containment, such as systems that are hydrostatically monitored or under constant vacuum, are exerfi�t from periodic containment <br />testing. {California Code of Regulations, Title 23, Section 2637(a)(6)) <br />