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l ' <br />TEST NO. 1- TANK ANNULAR TESTING <br />Test Method Developed By: <br />❑ Tank Manufacturer ® Industry Standard ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: <br />❑ Pressure ® Vacuum <br />❑ Other (Spec) <br />❑ Hydrostatic <br />Test Equipment Used: <br />Equipment Resolution: <br />"Tankxempt =FromTesting?' <br />Tank#87-1 <br />Tank #87-2 <br />Tank #87-3 <br />Tank #91 <br />❑ Yes 0 No <br />❑ Yes O No <br />❑ Yes ® No <br />❑ Yes O No <br />Tank Capacity: <br />10,000 Gal <br />10,000 Gal <br />10,000 Gal <br />10,000 Gal <br />Tank Material: XXX <br />Tank Manufacturer: <br />Xerxes <br />Xerxes <br />Xerxes <br />Xerxes <br />Product Stored: <br />Regular <br />Regular <br />Regular <br />Premium <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: Per Protocol <br />Test Start Time: <br />9:45am <br />10:00am <br />11:25am <br />12:35pm <br />Initial Reading (RO: <br />10" Hg <br />10" Hg <br />10" Hg <br />10" Hg <br />Test End Time: <br />10:45am <br />11:00am <br />12:25pm <br />1:35pm <br />Final Reading (RF): <br />10" Hg <br />9" Hg <br />10" Hg <br />10" Hg <br />Test Duration: <br />lhr. <br />lhr. <br />lhr. <br />lhr. <br />Change in Reading (RF -RI): <br />none <br />-1" Hg <br />none <br />none <br />Pass/Fail Threshold or Criteria: <br />No Loss <br />Loss <br />No Loss <br />No Loss <br />9t Result <br />0 Fail <br />❑ ,! Pass : ® Fail <br />® Pass ❑ Fail <br />0 Pass ❑ Fair <br />Was sensor removed for testing? <br />❑ Yes ❑No DNA <br />❑ Yes ❑ No ❑ NA <br />❑Yes ❑ No DNA <br />❑ Yes ❑ No DNA <br />Was sensor properly replaced and <br />verified functional after testing? <br />❑ Yes ❑No [INA <br />❑ Yes ❑No ❑ NA <br />❑ Yes ❑ No ❑NA <br />❑ 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 conta' e <br />testing. {California Code of Regulations, Title 23, Section 2637(a)(6)} <br />