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t e <br /> I <br /> Page 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 /> [I Other(Specify) <br /> Test Equipment Used: D IAL GAUG E Equipment Resolution:0 to 15"Hg_Vacuum j <br /> Tank# Tank# / Tank# Tank# <br /> Is Tank Exempt Prom Testing?t ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> Tank Capacity: GALLONS GALLONS GALLONS GALLONS <br /> Tank Materia]: - <br /> Tank Manufacturer: <br /> Product Stored: 6* 7 1 <br /> i <br /> Wait time between applying i <br /> pressure/vacuum/water and 15 Minutes 15 Minutes 15 Minutes 15 Minutes <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(R): /V "HG to "HG "HG "HG <br /> Test End Time: <br /> Final Reading(RF): HG ®o "HG "HG "HG 1 <br /> Test Duration: 1 Hour 1 Hour 1 Hour 1 Hour <br /> Change in Reading(RF-R): 0-HG pf -HG "HG "HG <br /> Pass/Fail Threshold or Criteria: Zero Zero Zero Zero <br /> it EEL <br /> Test 1ui � � ff <br /> �as ❑ aA.-' 'Ca s ❑ L �' ❑` <br /> r <br /> Was sensor removed for testing? ❑Yes N No ❑NA ❑Yes ®No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and 19 Yes ❑No ❑NA Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> verified functional after testing? <br /> Co nInentS—(include information on repairs made prior to testing and recommended follow-up for failed tests) <br /> I <br /> I <br /> Chevron#208118 <br /> 3355 E Hamner Ln <br /> Stockton, Ca <br /> #07350 SB989 <br /> t 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 />