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SWRCB, January 2002 is <br />0 Page )- of —1 <br />Test Method Developed By: Tank Manufacturer 0 Industry Standard 0 Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: 0 Pressure Vacuum 0 Hydrostatic <br />0 Other (Spec) <br />Test Equipment Used: <br />I Equipment Resolution: <br />N <br />Tank # i Tank # 2 <br />Tank # Tank # <br />Is Tank Exempt From Testing., X Yes No X Yes No <br />0 Yes 0 No 0 Yes D No <br />Tank Capacity: <br />15K <br />15K <br />Tank Material: <br />Fiberglass <br />Fiberglass <br />Tank Manufacturer: <br />XERXES <br />XERXES <br />Product Stored: <br />Regular 87 <br />Supreme 91 <br />Wait time between applying <br />Exempt <br />Exempt <br />vacuum and starting test: <br />See Comments <br />See Comments <br />Test Start Time: <br />itial Reading (R,): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF -R,): <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />Pass ❑ Fail <br />PassFail <br />❑ Pass 0 Fail ❑ Pass ❑ Fail <br />Was sensor removed for testing? <br />0 No ❑ NA <br />0 No DNA <br />0 Yes ❑ No 0 NA 0 Yes 0 No 0 NA <br />Was sensor properly replaced and <br />verified functional after testin ? <br />Yes 0 No 0 NA <br />Yes 0 No 0 NA <br />0 Yes 0 No 0 NA 0 Yes 0 No 0 NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />Tanks have brine filled Annulars, and are exempt from periodic Testing.! <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)) <br />