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'SWRCB,January 2002 Page 2 of 5 <br /> 4.TANK ANNULAR TESTING <br /> Test Method Developed by ❑ Tank Manufacturer N Industry Standard ❑ Professional Engineer <br /> ❑ Other(Specify) <br /> Test Method Used ❑ Pressure N Vacuum ❑ Hydrostatic <br /> ❑ Other(Specify) <br /> Test Equipment Used:4"Dial Guage Equipment Resolution: .2 <br /> Tank##UE020U001 Tank# Tank# Tank# <br /> Is Tank Exempt From Testing?(1) ❑ Yes N No ❑ Yes ❑No ❑ Yes ❑ No ❑ Yes ❑ No <br /> Tank Capacity: 8,000 Gallons <br /> Tank Material: Steel/Fiberglass <br /> Tank Manufacturer: Modern Welding <br /> Product Stored: Diesel <br /> Wait Time between applying One Hour <br /> pressure/vacuum/water and starting <br /> test: <br /> Test Start Time: 10:05 AM <br /> Initial Reading(Ri): -10 HG <br /> Test End Time. 11:05 AM <br /> Final Reading(Rf): -10 HG <br /> Test Duration: One Hour <br /> Change in Reading(Rf-Ri): 0 <br /> Pass/Fail Threshold or Criteria: 0 <br /> Test Result N Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Was Sensor Removed for Testing? N Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br /> Was Sensor properly replaced and ❑ Yes N No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br /> verified functional after testing? <br /> Comments include any information on repairs made prior to testing,and recommended follow-up for failed tests <br /> Re-Installed Sensor To Lowest Point But Not Tested. <br /> (1)Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment,such as <br /> sysrtems that are hydrostatically monitored or under constant vacuum,are exempt from periodic containment testing. {California Code of <br /> Regulations,Title 23,Section 2637(a)(6)) <br />