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P <br />r I lI <br />SWRCB, January 2002 Page E of <br />4. TANK ANNULAR TESTING s <br />Test Method Developed By: Tank Manufacturer ❑ Industry Standar4NVIKVIVs i gineer <br />❑ Other (Spec fy PEW, AIT/"ER` ICES <br />Test Method Used: ❑ Pressure ` 3&acuum ❑ Hydrostatic <br />❑ Other (Spec) f� <br />Test Equipment Used: Y, � ADh)a iii f—e.A att !',v9 - I Equipment Resolution: <br />Tank # L <br />Is Tank Exempt From Testing?' ❑ Yes ;9::r[o <br />Tank # Z r j Tank # <br />❑ Yes No ❑ Yes ❑ No <br />Tank # <br />❑ Yes ❑ No <br />Tank Capacity: <br />Tank Material:���, <br />Tank Manufacturer: <br />Product Stored: )-�e-q U 14 <br />g, - ! <br />Wait tien applying <br />pressor vacuu water and <br />startingtes : 40 u 1/ <br />� [� <br />Test Start Time: / d ,' Ir <br />Initial Reading (RI): —16 <br />--• /Q(' <br />Test End Time: f /, • / ; <br />//,' Zj <br />Final Reading (RF): <br />Test Duration: �, u � <br />% �4 Ole, V <br />Change in Reading (RF -RI): AI- <br />_Pass/Fail <br />Pass/Fail Threshold or Criteria: tjv Los 5 i -y -i <br />0U Loss W H <br />Test Result: Pass ❑ Fail <br />Pass ❑ Fail ❑ ass ❑ Fa <br />❑ P ss ❑ F •I <br />Was sensor removed for testing? Kes ❑ No ❑ NA <br />es ❑ No ❑ NA ❑ es ❑ No ❑ N <br />❑ Y ❑ No ❑ <br />Was sensor properly replaced and es ❑ No ❑ NA <br />verified functional after testin ? <br />es ❑ No ❑ NAYes ❑ No ❑ NA <br />❑ es ❑ No ❑ NA <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 />