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rR/C <br />Page 2 of 8 01F11, — <br />or - <br />4. TANK ANNULAR TESTING <br />Test Method Developed By: <br />❑ Tank Manufacturer <br />D Industry Standard ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: <br />❑ Pressure <br />21 Vacuum ❑ Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: <br />Equipment Resolution: <br />Tank # Super <br />Tank # Regular <br />Tank # Diesel <br />Tank # <br />Is Tank ExemprFromTestin!g? <br />❑ Yes ® No <br />❑ Yes IM No <br />❑ Yes ® No <br />❑ Yes ❑ No <br />Tank Capacity: <br />10000 <br />10000 <br />10000 <br />Tank Material: <br />FG <br />FG <br />FG <br />Tank Manufacturer: <br />UK <br />UK <br />UK <br />Product Stored: <br />Gas <br />Gas <br />Diesel <br />Wait time between applying <br />pressure/vacuumlwaterznd starting <br />0 <br />0 <br />0 <br />test: <br />Test Start Time: <br />11:10 <br />09:50 <br />09:20 <br />Initial Reading (Ri): <br />-10" <br />-10" <br />-10" <br />Test End Time: <br />12:10 <br />10:50 <br />10:20 <br />Final Reading (RF): <br />-101, <br />-10" <br />Test Duration: <br />1 hr <br />1 hr <br />1 hr <br />Change in Reading (RF-Ri): <br />0 <br />0 <br />0 <br />Pass/Fail Threshold or Criteria: <br />Was sensor removed for testing? ® Yes ❑ No ❑ NA ® Yes ❑ No ❑ NA ® Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced after px Yes ❑ No ❑ NA ® Yes ❑ No ❑ NA ® Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br />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 containment, <br />such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. <br />{California Code of Regulations, Title 23, Section 2637(a)(6)} <br />