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SWRCB, January 2002 0 <br />Page _ of <br />Test Method Developed By: ?(Tank Manufacturer D Industry Standard 0 Profe—ssior al Engineer <br />0 Other (Specify) <br />Test Method Used: 0 Pressure "Vacuum 0 Hydrostat'r <br />7 1 <br />710 Other (Specify) <br />Test Equipment Used: GCOC <br />ent Resolution <br />77 �7711' i., I <br />Tank # Z <br />Tank # Tank <br />Is Tank Exempt Froze Testing? ` 0 Yes o 01 Yes No <br />0 Yes 0 No 0 Yes ONO <br />Tank Material: <br />Tank Manufacturer: <br />CC" C- <br />Product Stored: <br />VP'Vj6a0e0 <br />V7" <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />k�o JAM <br />Initial Reading (Rj): <br />Test End Time: <br />A -H <br />i C 4C.-Ad4 <br />Final Reading (RF): <br />lie, <br />Test Duration: <br />Change in Reading (RF-Rj): <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />0 Pass 0 Fail <br />APass 0 Fail <br />0 Pass 0 Fail <br />0 Pass 0 Fail <br />Was sensor removed for testing? <br />0 Yes )TANo 0 NA <br />, <br />I Yes )"o 0 NA <br />0 Yes 11 No 0 NA <br />0 Yes 0 No 0 NA <br />Was sensor properly replaced and <br />0 Yes No 0 NA <br />0 Yes XNo DNA <br />0 Yes <br />verified functional after testing? <br />g? <br />0 No NA <br />0 <br />10Yes ONO NA <br />O <br />MT -M <br />ion on repairs made prior to testing, and recommended <br />' Secondary containment systems where the continuous monitoring automatically monitors both the primary and econdary <br />containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from peri is containment <br />testing. {California Code of Regulations, Title 23, Section 2637(a)(6)) <br />