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• RECEIVED SWRCB, January 2002 OCT 19 2016 Page_2_of_s_ 4. TANK ANNULAR TESTING ENVIRONMENTAL HEALTH Test Method Developed By: ❑ Tank Manufacturer ® Industry Standard gineer ❑ Other (Spec) Test Method Used: ❑ Pressure ® Vacuum ❑ Hydrostatic ❑ Other (Spec) Test Equipment Used: 0 — 30" VACUUM GAUGES Tank # DIESEL Tank # 87 Equipment Resolution: .5% Tank # 91 Tank # WASTE OIL Is Tank Exempt From Testing?' 0 Yes ❑ No ® Yes ❑ No ® Yes ❑ No ® Yes ❑ No Tank Capacity: 10000 10000 10000 N/A Tank Material: FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS Tank Manufacturer: NIA NIA NIA N/A Product Stored: DIESEL 87 91 WASTE OIL Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (Rj): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF-Rj): Pass/Fail Threshold or Criteria: NO LOSS NO LOSS NO LOSS NO LOSS Test Result: ❑ Pass ❑' Fail ❑ Pass, ❑ Fail ❑ Pass ❑ Fail` ❑ Pass ❑ Fail Was sensor removed for testing? ❑ Yes ❑ No ❑ NA [:]Yes ❑ No [:INA ❑ Yes ❑ No [INA ❑ Yes ❑ No ❑ NA Was sensor properly replaced and verified functional after testing? ❑Yes ❑ No ❑ NA [-]Yes❑ No [INA ❑Yes []No ❑ NA ❑Yes [I No ❑ NA Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) TANK ANNULARS ARE EXEMPT FROM TESTING 1 Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. (California Code of Regulations, Title 23, Section 2637(ax6))