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Page -/- of <br /> SWRCB,January 2002 <br /> 4. TANK ANNULAR TESTING <br /> Q Tank Manufacturer 11 Industry Standard 0 Professional E�tneera--- - - " <br /> ethod Developed By: <br /> Q Vacuum tic <br /> Test Method Used: ^--�"�f° e - - <br /> Q Other(Specify) Equipment Resolution: <br /> Test Equipment Used: <br /> Tank# 3- Tank# <br /> Tank# Tank# <br /> ❑Yes ❑No <br /> Q Yes ❑No Q Yes ❑Noti <br /> is Tank Exempt From Testing?' es ❑NO r <br /> Tank Capacity: L <br /> 1' i <br /> Tank Material: <br /> Tank Manufacturer: <br /> E <br /> Product Stored: `eS <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: i e <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-R,): t <br /> Pass/FaiI Threshold or Criteria: ❑ p ss Fail <br /> R <br /> ❑ ass ❑ ail Pass ❑Fail ❑ ;Vass ❑Fai <br /> Test esult: <br /> for testing? ❑ s ❑No A Yes ❑No ❑NA Q lees ❑No ❑N ❑Y ❑No � NA <br /> Was sensor removed g ❑No ❑NA <br /> Was sensor properly replaced and Yes ❑No ❑N Yes ❑No ❑NA Q'Yes ❑No ❑NA\j ❑ <br /> verified functional after testin ? <br /> C®mnterit3—(include in ormation on repairs made rior to testing. and recommended ol up or ailed tests) <br /> tat f ct✓ i S ✓ P ll e d <br /> rs both the primary <br /> secondary <br /> ' Secondary containment systems where the continuo mo 0o ed ogundem constant ttvacuu�n,arr exempt from periodic containment <br /> containment,such as systems that are hydrostatically <br /> testing. (California Code of Regulations,Title 23,Section 2637(a)(6)) <br />