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11 � � <br /> RECEIVED <br /> JUL 1 2020 <br /> SWRCB,January 2002 <br /> EENN I ONMENTAL HEALTH <br /> V. TANK SECONDARY CONTAINMENT iI O T�©N "",— <br /> NI <br /> Test Method Developed By: ❑Tank Manufacturer Industry Standard Ll Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum 12 Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: Equipment Resolution: <br /> Tank#91 Tank#Diesel Tank#$7 Tank# <br /> Is Tank Exempt From Testing?' t7 Yes ❑No ®Yes ❑No Z Yes Li No ❑Yes ❑No <br /> Tank Capacity: <br /> Tank Material: <br /> Tank Manufacturer: <br /> Product Stored: <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(RI): <br /> Test End Time. <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-RI): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: ❑ Pass L Fail ❑ Pass ❑Fail ❑ Pass Fail ❑ Pass ❑Fail <br /> Was sensor removed for testing? ❑Yes ❑No ❑NA ❑yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No i NA <br /> Was sensor properly replaced and ❑Yes ❑No ❑NA ❑yes 11 No ❑NA ❑Yes ��No FNA Yes n 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 /> Tanks annulars are continuously monitored with brine <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 />