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SWRCB,January 2002 Page of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: Tank Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> X'�Other(Spee) <br /> Test Method Used: ❑ Pressure V (I Hydrostatic <br /> u Other(.Specify) / <br /> Test Equipment Used: 4t cOC 6>,__,A - 1 Equipment Resolution: <br /> Tank# 1 Tank#Z Tank# Tank# <br /> Is Tank Exempt From Testing?' ❑Yes o ❑Yes Ao ❑Yes ❑No, ❑Yes ❑No <br /> Tank Capacity: 1 t4 I L le— <br /> Tank Material: e,s S 17, )"'Zj ! tS <br /> L <br /> Tank Manufacturer: }O t,+ (o„ 6WA-44171 f vww- t <br /> Product Stored: °' to C" v <br /> Wait time between applying <br /> pressure a-cuu�'ater and <br /> startingtest` n�+ �° �*`�+ V <br /> Test Start Time: l2-', v t 3 0 <br /> Initial Reading(Ri): <br /> Test End Time: Z ; 3 ra 2- 3 U <br /> Final Reading(RF): — (b ( ----lO t-1 <br /> Test Duration: Lt 01 V 2, u y 5 °� <br /> Change in Reading(RF-Rj): Cp t4 <br /> Pass/Fail Threshold or Criteria: 0 o 1-1 c4eA v�t <br /> Test Result: 0 Pass ❑ Fail KPass ❑Fail ❑= ass ❑ Fail ❑ Pass ❑ Fail <br /> Was sensor removed for testing? ❑Yes o ❑NA ❑Yes RNo ❑NA ❑ es ❑No ❑I�A ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and verified functional after testing? SI❑yes ❑No A ❑Yes ❑NoNA Yes ❑No ❑NAt ❑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 />