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I <br /> e <br /> • Page Z of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑Tank Manufacturer ® Industry Standard ❑Professional Engineer <br /> ❑Other(Specify) <br /> Test Method Used: ❑Pressure ®Vacuum ❑Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: DIAL GAUGE Equipment Resolution: 0 to 15"Hg Vacuum <br /> Tank 87 Tank Tank Tank <br /> Is Tank Exempt From Testing?' ❑ es ❑No ❑ s ❑No ❑Yes [I No ❑Yes ❑No <br /> Tank Capacity: ® GALLONS fJ° GALLONS GALLONS GALLONS <br /> Tank Material: F&-44r3 tee--_ <br /> Tank Manufacturer: c, <br /> Product Stored: <br /> Wait time between applying <br /> pressure/vacuum/water and 15 Minutes 15 Minutes 15 Minutes 15 Minutes <br /> starting test: <br /> Test Start Time: 7"3 C-) <br /> Initial Reading(RJ: /Q "HG JAI "HG "HG "HG <br /> Test End Time: S ° ® VS <br /> Final Reading(RF): /®"HG "HG "HG "HG <br /> Test Duration: / <br /> Change in Reading(RF-RD: HG "HG "HG "HG <br /> Pass/Fail Threshold or Criteria: Zero Zero Zero Zero <br /> Was sensor removed for testing? ®Yes ❑No ❑NA ®Yes ❑No ❑NA ®Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and ®Yes ❑No ❑NA ®Yes ❑No ❑NA ®Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> verified functional after testing? <br /> Comments—(include information on repairs made prior to testing,and recommended follow-up for failed tests) <br /> Chevron #208118 <br /> 3355 E. Hammer Ln. <br /> Stockton, CA. 95212 <br /> N04765 — SB 989 Testing <br /> 1 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 />