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4. TANK ANNULAR TESTING Page 2 of I Test Method Developed By.: ❑ Tank Manufacturer ® Industry Standard ❑ Professional Engineer ❑ Other (Specie) ' Test Method Used: ❑ Pressure ❑ Other (Spec) ® Vacuum ❑ Hydrostatic Test Equipment Used: DIAL GAUGE Equipment Resolution: Q to 15" Hg Vacuum Lymmlffm =299222=82= Tank Tank c�-o' Tank 9/ Tank Is Tank Exempt From Testing?' ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Tank Capacity: GALLONS GALLONS GALLONS GALLONS -Tank-Materials --- -- - -Fiberglass- - Fiberglass— -- -Fiberglass-- - -- -Fiberglass-------------- iberglass---- ------Tank TankManufacturer: Product Stored: (5, 4„,- T i Wait time between applying pressure/vacuum/water and starting test: 15 Minutes 15 Minutes 15 Minutes 15 Minutes Test Start Time: ; v Initial Reading (Rj): 10” HG 10" HG j V" HG "HG Test End Time: 9 :31 9 '� : 2 5 Final Reading (RF): f t:7 " HG l 0 " HG O " HG "HG Test Duration: 1 Hour 1 Hour 1 Hour 1 Hour Change in Reading (RF -RI): " HG " HG e " HG "HG Pass/Fail Threshold or Criteria: Zero Zero Zero Zero 77 Test Result: Pass ❑Fail. .Pass . ❑ Fail X Pass ❑ Fail ` ❑Pass ❑ Fail . Was sensor removed -for testing? ❑ Yes CR No ❑ NA ❑ Yes ®,No ❑ NA ❑ Yes 4 No ❑ NA ❑ Yes ❑ No ❑ NA Was sensor properly replaced and verified functional after testing? FlYes ElNo KNA ❑ Yes ❑ No ®'NA ❑ Yes ElNo 9 NA ❑ Yes ❑ No ❑ NA Comments — (include information on repairs made prior to testing, and recommended ollow-u for failed tests) Chevron # 1960 W 11t, St