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APR-30-2010 FRI 05: 37 PIS P, 030 <br /> �P®C <br /> Page 2 of 8 <br /> d. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑Tank Manufacturer ❑Industry Standard ❑Professional Engineer <br /> ❑Other(Specify) <br /> Test Method Used: ❑Pressure 0 Vacuum Cl Hydrostatic <br /> ®Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> Tank# Tank# Tank# "rank <br /> 7Tank <br /> k Exempt From Testing?' ®Yes o No ❑Yes ❑ No ❑Yes Q No ❑Yes ❑ No <br /> Capacity: <br /> Material: <br /> Tank Manufacturer. <br /> Product Stored: <br /> Wait time between applying <br /> pressure/vacuumlwater and starting <br /> test <br /> Test Start rime: <br /> Initial Reading(Ri): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RPR): <br /> PasslFail Threshold or Criteria: <br /> Test Result ® Pass ❑'Fail ❑,Pass, ❑ Fail ❑ Pass ❑ Fail ® Pass ❑ Fail <br /> Was sensor removed for testing? E]Yes LlNo ❑ NA ❑Yes ❑ No ❑ NA ❑Yes 13No ❑ NA Q Yes O No 11 NA <br /> Wstis as sensor properly replaced after d Yes ❑ No O NA ❑Yes 0 No 0 NA ®Yes Q No ® NA ❑Yes ❑ No 13 NA <br /> te ? <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 containment, <br /> such as systems that are hydrostatically monitored or ender constant vacuum,are exempt from periodic containment testing. <br /> {California Code of Regulations,Title 23,Section 2637(a)(6)} <br />