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0 11► <br /> �c <br /> Page 2 of 9 <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑Tank Manufacturer El Industry Standard ❑ Professional Engineer <br /> ❑Other(Specify) <br /> Test Method Used: ❑Pressure El Vacuum ❑Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> Tank# Tank# Tank # Tank# <br /> Is Tank Exempt From Testing? ❑ Yes ® No ❑ Yes ❑O No ❑ Yes ❑ No ❑Yes ❑ No <br /> Tank Capacity: 12000 12000 <br /> Tank Material: F.G F.G <br /> Tank Manufacturer: UK UK <br /> Product Stored: Gas Gas/Diesel <br /> Wait time between applying <br /> pressure/vacuum/water and starting 5min 5min <br /> test: <br /> Test Start Time: 12:30 pm 12:45 pm <br /> Initial Reading(Ri): -10" -10" <br /> Test End Time: 1:30 pm 1:45 pm <br /> Final Reading(RF): -10" -10" <br /> Test Duration: 1 h r 1 h r <br /> Change in Reading(RF-Ri): 0 0 <br /> Pass/Fail Threshold or Criteria: 0 0 <br /> Test Result: rx-1 Pass ❑ Fail', ®Pass ❑ Fail ❑Pass ❑Fail ❑Pass ❑ Fail <br /> Was sensor removed for testing? ®Yes ❑ No ❑ NA ®Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA <br /> Was sensor properly replaced after ❑x Yes ❑ No ❑ NA ❑x Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA <br /> testing? <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 under constant vacuum,are exempt from periodic containment testing. <br /> {California Code of Regulations,Title 23,Section 2637(a)(6)) <br />