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SWRCB,January 2002 Page 7— of 7 <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 ,X Vacuum ❑Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: _ p" `f ClL_ � �, Equipment Resolution: <br /> ffluffmom <br /> Tank# 11 Tank# Tank# Tank# <br /> I Is Tank Exempt From Testing?' ❑Yes KNo ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> Tank Capacity: -71 -(200 <br /> Tank Material: L `( 5 <br /> Tank Manufacturer: <br /> Product Stored: <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: io 30 <br /> Initial Reading(RI): w< <br /> Test End Time: <br /> Final ReadingR <br /> ( F) <br /> Test Duration: r <br /> Change in Reading(RF-Rj): <br /> Pass/Fail Threshold or Criteria: ®d► S <br /> Teat ReSUIt `, F: u �$S3' ]�It'all „ ❑ 1?a3S: ❑]'All ❑j0, 33 tills ❑ Ta3s;' ❑FSII <br /> �. <br /> Was sensor removed for testing? A Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor property replaced and yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> verified functional after testin ? <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> �5®1•, 1inTolt�i <br /> i <br /> i <br /> i <br /> i <br /> i <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 />