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SWRCB, January 2002 <br />4. TANK ANNULAR TESTING <br />Page 2 of <br />Test Method Developed By: <br />X Tank Manufacturer X Industry Standard Professional Engineer <br />Other (Specify) <br />Test Method Used: <br />Pressure <br />Other (Specify) <br />X Vacuum <br />Hydrostatic <br />Test Equipment Used: Vacuum Gauges <br />Tank # ( <br />Is Tank Exempt From Testing?' Yes No <br />Tank # 2— <br />Yes o <br />Equipment Resolution: <br />Tank # 3 <br />Yes No <br />Tank # <br />Yes No <br />Tank Capacity: <br />i� �® <br />A <br />1 ':� 00 <br />Tank Material: <br />11 <br />Tank Manufacturer: <br />VgA S w/i. <br />eq`oy �,,r� <br />©� <br />Product Stored: <br />D 6�olwe 13 4ft4A-- G0244,-- <br />/ <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />► 5 mia/ <br />Test Start Time: <br />Initial Reading (Rj): <br />1 D <br />jo " Gk'6 <br />®O Z -.Ie <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />home - <br />Change in Reading (RF -Rs): <br />Pass/Fail Threshold or Criteria: <br />s <br />— <br />Test R�esult: <br />asa <br />asa#1: <br />Pass Fail: <br />Was sensor removed for testing? <br />es No NA <br />No NAYes <br />No NA <br />Yes No NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />r—, No NA <br />No NA <br />® No NA <br />Yes 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 />