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s0 0 e c <br /> Page 2 of 8 �e_� �„���, �E <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑ Tank Manufacturer ®Industry Standard ❑ Professional Engineer <br /> ❑ Other(Spec) <br /> Test Method Used: ❑Pressure ® Vacuum ❑ Hydrostatic <br /> ❑ Other(Spec) <br /> Test Equipment Used:Vacuum Gauge Equipment Resolution: 0-30 Hg <br /> 111MINFMONSOMMEMIM ME= <br /> Tank#Regular 87 Tank#Premium 91 Tank# Tank# <br /> Is Tank Exempt From Testing?' ❑Yes ®No ❑ Yes ®No ❑Yes ❑No ❑Yes ❑No <br /> Tank Capacity: 12000 Gal 12000 Gal <br /> Tank Material: D/W Fiberglass D/W Fiberglass <br /> Tank Manufacturer: Unknown Unknown <br /> Product Stored: Unleaded 87 Unleaded 91 <br /> Wait time between applying <br /> pressure/vacuum/water and 10 min 10 min <br /> starting test: <br /> Test Start Time: 10:30 AM 10:45 AM <br /> Initial Reading(Ri): 7Hg 7 Hg <br /> Test End Time: 11:30 AM 11:45 AM <br /> Final Reading(RF): 7 Hg 7 Hg <br /> Test Duration: 60 min 60 min <br /> Change in Reading(RF-RI): 0 0 <br /> Pass/Fail Threshold or Criteria: 7 Hg 7 Hg <br /> Test Result: Pass ❑Fail 0 Pass ❑Fail ❑ Pass'. ❑Fail ❑ Pass ❑Fail <br /> Was sensor removed for testing? ®Yes❑No❑NA ®Yes❑No❑NA ❑Yes❑No❑NA ❑Yes❑No[—INA <br /> Was sensor properly replaced and <br /> verified functional after testing? ®Yes[]No❑NA ®Yes❑No❑NA ❑Yes[—]No❑NA ❑Yes[—]No[—INA <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)) <br />