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t <br /> SWRCB,January 2002 Page Z. of? <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: 0 Tank Manufacturer AIndustry Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure Z Vacuum ❑Hydrostatic <br /> 0 Other(Specify) <br /> OTestuipmentUsed: _ p" %f L, Equipment Resolution: <br /> Tank# ` Tank# Tank# Tank# <br /> Exempt From Testing?' 0 Yes KNo ❑Yes ❑No 0 Yes ❑No 0 Yes ❑No <br /> Tank Capacity: <br /> Tank Material: 5 <br /> Tank Manufacturer: , <br /> Product Stored: <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(RI): � <br /> Test End Time: <br /> Final Reading l(�pF): ` <br /> 1e <br /> Test Duration: <br /> Change in Reading(RF-RI): <br /> Pass/Fail Threshold or Criteria: ®r)IC PCA,y5 <br /> .Test�2eglt F.:' ' ' fP. .i. x Fads Q Fail mO bass j❑fall ❑�PaS� CI fall �7 Piss: Q Sil <br /> Was sensor removed for testing? ,X Yes ❑No 0 NA Cl Yes ❑No [INA ❑Yes ❑No 0 NA ❑Yes 0 No 0 NA <br /> Was sensor properly replaced and verified functional after testin ? yes 0 No 0 NA 0 Yes 0 No 0 NA 0 Yes 0 No ❑NA ❑Yes 0 No 0 NA <br /> i <br /> C0MMents—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> i <br /> i <br /> i <br /> iI <br /> I <br /> 1 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 />