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. Aw <br /> SWRCB,January 2002 Page Z of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: Tank Manufacturer 0 Industry Standard 0 Professional Engineer <br /> ❑Other(Speck) <br /> Test Method Used: 0 Pressure acuum 0 Hydrostatic <br /> 0 Other(SpecP ) <br /> Test Equipment Used: Gu j4-- u CGcu w• Paw V4l situ & l�vl Equipment Resolution: <br /> Tank# Tank# L ank# nk# f <br /> Is Tank Exempt From Testing?' 0 Yes o 0 Yes o 0 Yes 0 No Yes 0 No/ <br /> Tank Capacity: '2-s-Ic- <br /> Tank Material: if t jU_1 4 j S (,=. ✓ S s <br /> Tank Manufacturer: eu v 0 <br /> Product Stored: <br /> Wait time b applying <br /> pressure/ acuum/ ater and ) <br /> startingtes . v Ito u V <br /> Test Start Time: 2 v v z,; v 0 <br /> Initial Reading(RO: —to — (OR--I, <br /> Test End Time: 3 , 00 3 ;_06 <br /> Final Reading(RF): — ion . — 1b L <br /> Test Duration: 140 14 00- <br /> Change <br /> -Change in Reading(RF-": <br /> Pass/Fail Threshold or Criteria: ,Up l-v5S +7a No loss rYt <br /> Test Result: ass ❑Fail VPass ❑Fail Pass ❑ Fal ❑ Pass ❑ 4il <br /> Was sensor removed for testing? 0 Yes filo 0 NA 0 Yes o 0 NA Yes 0 No ❑ A 0 es 0 No ❑ A <br /> Was sensor properly replaced and 0 Yes 0 No K-NA 0 Yes 0 No)64A ❑Yes 0 No 0 N ❑Yes 0 No ❑ <br /> verified functional after testin ? <br /> Comments—(include information on repairs maderip or 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 />