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SWRCB, January 2002 RffCEfVED <br />4. TANK ANNULAR TESTING <br />Test Method Developed By: x Tank Manufacturer 0 Industry Standard 0 Professional Engi%8 05 2014 <br />0 Other (Specify) <br />Test Method Used: 0 Pressure X Vacuum 5 HydrostatiENVIRONMEN <br />El Other (Specify) HEALTH DEPARTME <br />rAL <br />4T <br />Test Equipment Used: Dwyer Manometer <br />Equipment Resolution: +/- 2% <br />Tank # I <br />Tank # 2 <br />Tank # 3 <br />Tank # <br />Is Tank Exempt From Testing?' <br />0 Yes x No <br />0 Yes xNo <br />0 Yes xNo <br />0 Yes ONo <br />Tank Capacity: <br />35,000 <br />15,000 <br />2,000 <br />Tank Material: <br />Fiberglass <br />Fiberglass <br />Fiberglass <br />Tank Manufacturer: <br />Xeres <br />Xeres <br />Xeres <br />Product Stored: <br />Diesel <br />Gas <br />Waste Oil <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />30 min <br />30 min <br />30 min <br />30 min <br />Test Start Time: <br />12:35 <br />8:50 <br />12:05 <br />Initial Reading (RI): <br />6.64 <br />6.72 <br />6.48 <br />Test End Time: <br />1:35 <br />9:50 <br />1:05 <br />Final Reading (RF): <br />6.57 <br />6.28 <br />6.37 <br />Test Duration: <br />I hour <br />I hour <br />I hour <br />I hour <br />Change in Reading (RF -RI): <br />.07 <br />.44 <br />.11 <br />Pass/Fail Threshold or Criteria: <br />No less than I" <br />No less than I" <br />No less than I" <br />No less than I" <br />Test Result: <br />x Pass 0 Fail <br />x Pass D Fail <br />x Pass 0 Fail <br />0 Pass 0 Fail <br />Was sensor removed for testing? <br />x Yes 0 No 0 NA <br />x Yes 0 No 0 NA <br />x Yes 0 No 0 NA <br />x Yes 0 No 0 NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />x Yes 0 No 0 NA <br />x Yes 0 No 0 NA <br />I <br />x Yes 0 No 0 NA <br />x Yes 0 No 0 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 />