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4 <br />41^ <br />TEST NO.2 - TANK ANNULAR TESTING <br />Test Method Developed By: <br />❑ Tank Manufacturer *0 Industry Standard ❑ Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: <br />❑ Pressure <br />[K) Vacuum <br />❑ Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: <br />Equipment Resolution: <br />BIER= <br />01111111MERIM <br />Tank #87-1 <br />Tank #87-2 <br />Tank #87-3 <br />Tank #91 <br />Is Tank Exempt From Testing?' <br />0 Yes ❑ No <br />® Yes ❑ No <br />0 Yes ❑ No <br />0 Yes ❑ 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 />Initial Reading (RI): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF -RI): <br />Pass/Fail Threshold or Criteria. <br />No Loss <br />Test Result. ❑. P.ass p Fail : ❑ Pass ® Fait ❑ Pass ❑ Fail ❑'Pass ❑ Fail <br />Was sensor removed for testing? ❑ Yes ❑No ❑NA ❑ Yes ❑ No ❑ NA ❑Yes ❑ No ❑NA ❑ Yes ❑ No ❑NA <br />Was sensor properly replaced and ❑ Yes ❑No ❑NA ❑ Yes ❑No ❑ NA ❑ Yes ❑ No ❑NA ❑ Yes ❑ No ❑ NA <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)1 <br />7 <br />