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F/C Page 2 of 8 r 4. TANK ANNULAR TESTING Test Method Developed By: ❑ Tank Manufacturer rx-1 Industry Standard ❑ Professional Engineer ❑ Other (Specify) Test Method Used: ❑ Pressure EI Vacuum ❑ Hydrostatic ❑ Other (Specify) Test Equipment Used: Vacuum Gage Equipment Resolution: 0-30 Hg Tank # 1 Tank # 2 Tank # 3 Tank # Is Tank Exempt From Testing?' ❑ Yes ® No ❑ Yes ® No ❑ Yes ®No ❑ Yes ❑ No Tank Capacity: 12000 12000 12000 Tank Material: FG FG FG Tank Manufacturer: UK UK UK Product Stored: Gas Gas Diesel Wait time between applying pressure/vacuum/water and starting 0 0 0 test: Test Start Time: 10:30 10:45 11:00 Initial Reading (Ri): -10" -10" -10" Test End Time: 11:30 11:45 12:00 Final Reading (RF): -10" -10" -10" Test Duration: 1 hr 1 hr 1 hr Change in Reading (RF-Ri): 0 0 0 Pass/Fail Threshold or Criteria: 0 0 0 Was sensor removed for testing? ® Yes ❑ No ❑ NA ®Yes ❑ No ❑ NA ®Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Was sensor properly replaced after ® Yes ❑ No ❑ NA ® Yes ❑ No ❑ NA ® Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA testing? Comments — (include information on repairs made prior to testing and recommended follow-up for failed tests) ' 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(a)(6))