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R <br /> 1. TANK CONTAINMENT Annular F F B ' 4 2020 <br /> Company Name: B.Z. Service Station Maintenance ENVIW <br /> Company Address: 1041 Triangle Ct.,West Sacramento,CA 95605 <br /> Credentials: ®CSLB Licensed Contractor ❑ SWRCB Licensed Tank Tester <br /> License Type: ICC License Number: 433159 <br /> Test Equipment Used: VACUUM GAUGE Equipment Resolution:0.5" <br /> Tank#DSL Tank# Tank# Tank# <br /> Wait time between applying <br /> pressure/vacuum/water and 5m in <br /> starting test: <br /> Test Start Time: 10:52 <br /> Initial Reading(Ri): -10" <br /> Test End Time: 11:52 <br /> Final Reading(RF): -10" " " " <br /> Test Duration: l HR 1 HR 1 HR 1 HR <br /> Change in Reading(RF-R4): 0 <br /> Pass/Fail Threshold or Criteria: 0 0 0 0 <br /> Test Result: ® Pass ❑ Fail ❑Pass ❑ Fail ❑Pass ❑Fail ❑Pass <br /> ❑ Fail <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 Q Yes❑No❑NA <br /> verified functional after testing? <br /> W <br /> quipment Used:VACUUM GAUGE Equipment Resolution: 0.5" <br /> x <br /> Tank# Tank# Tank# Tank# <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(Rj): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: 1 HR I HR 1 HR I H R <br /> Change in Reading(RF-R,): <br /> Pass/Fail Threshold or Criteria: 0 0 0 0 <br /> Test Result: ❑ 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 and ❑Yes No NA ❑ Q <br /> verified functional after testing? ❑ ❑ El ❑No❑NA El ❑No❑NA ❑Yes No NA <br /> 11 <br /> Comments—(include information on repairs made prior to testing, and recommended ollow-up for failed tests) <br /> Tested DSL annular with county post construction. <br />