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SWRCB, January 2002 0 Page _ of <br />4. TANK ANNULAR TESTING <br />Test Method Developed By: Tank Manufacturer ❑ industry Standard ❑ Professional Engineer <br />❑ Other_ (Spec) <br />Test Method Used:Pressure C, Vacuum ❑ Hydrostatic <br />❑ Other (Spec fy) <br />P <br />Test Equipment Used: .- . .,t <br />? Equipment Resolution: 2 -- 3 l <br />Tank # L. <br />Tank # 2__ <br />Tank # <br />Tank # <br />Is Tank Exempt From Testing?' ❑ Yes P o. <br />❑ Yes C T<o <br />❑ Yes ❑ No/ <br />` ❑ 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 />r <br />{ <br />Test Start Time: % (,' b <br />Initial Reading (Rj): w._. 1' J) %` <br />-- e"I //I <br />4 1 <br />Test End Time: 2 <br />121, <br />Final Reading (RF): 011c !$ ""t <br />�C /0 <br />Test Duration: <br />Change in Reading (RF -R,): <br />Pass/Fail Threshold or Criteria: <br />Test Result: P"Pass C7 Fail0, <br />Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />Was sensor removed for testing? � Yes 2N—o" ` ❑ NA <br />❑ Yes *5No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced and` <br />❑ Yes ❑ No "Z NA <br />verified functional after testing? .r°' 1 <br />11Yes El No � ,CTIA <br />I'll <br />G Yes ❑ No ❑ NA., <br />❑ Yes ❑ No El 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 "rom periodic containment <br />testing. Kalifornia Code of Regulations, 'Title 23, Section 2637(a)(5)) <br />