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SWRCB, January 2002 <br />4. TANK ANNULAR TESTING <br />Page of <br />Test Method Developed By: (Tank Manufacturer 0 Industry Standard ❑ Professional Engineer <br />n Other /Qn—iryI <br />Test Method Used: <br />i --r--- ./,,i <br />0 Pressure <br />0 Other (Specify) <br />X Vacuum <br />❑ Hydrostatic <br />Test Equipment Used: M L ptpN`t; �j a.1'" <br />Equipment Resolution: <br />. VOO <br />Tank # I <br />Tank #. <br />Tank # Tank # <br />Is Tank Exempt From Testing?' <br />❑ Yes No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />Tank Capacity: <br />fir, 000 <br />Tank Material: <br />Tank Manufacturer: <br />Product Stored: <br />, P 8 <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />ti t)`. SO <br />Initial Reading (RI): <br />+ 0 h fl <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />i tA R <br />Change in Reading (RF-Rj): <br />0 <br />Pass/Fail Threshold or Criteria: <br />(� <br />Test Result: <br />Pass 0 Fail <br />❑ Pass O Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />Was sensor removed for testing? <br />Yes ❑ No 0 NA <br />0 Yes O No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />0 Yes 0 No 0 NA <br />Was sensor properly replaced and <br />verified functional after testin ? <br />Yes ❑ No 0 NA <br />0 Yes 0 No ❑ NA <br />❑Yes ❑ No ❑ NA <br />❑Yes ❑ No ❑ NA <br />.7 <br />Comments — (include information on repairs made prior to testing, and recortimended 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 />