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S WRCB, January 2002 4. TANK ANNULAR TESTING Page _2_ of _8_ Is Tank Exempt From Testing?' ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No Tank Capacity: 10000 10000 10000 10000 Tank Material: FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS Tank Manufacturer: Product Stored: 91 89 87 DIESEL Wait time between applying pressure/vacuum/water and starting test: 10 MIN 10 MIN 10 MIN 10 MIN Test Start Time: 9:00 AM 9:00 AM 9:00 AM 9:00 AM Initial Reading (Rj): -10" -10" -10" -10" Test End Time: 10:00 AM 10:00 AM 10:00 AM 10:00 AM Final Reading (RF): -10" -10" -10" -10" Test Duration: I HR 1 HR 1 HR I HR Change in Reading (RF-Ri): 0" 0" 0" 0" Pass/Fail Threshold or Criteria: NO LOSS NO LOSS NO LOSS NO LOSS TO ullt: 'ass ❑ T+ail 12T, ss ❑Fail ER Pass ❑ 1Eail .` ®Pais D �1 Was sensor removed for testing? ® Yes ❑ No ❑ NA ®Yes ❑ No ❑ NA ® Yes ❑ No ❑ NA ® Yes ❑ No ❑ NA Was sensor properly replaced and verified functional after testing? ®Yes ED] No ❑ NA ®Yes ❑ No ❑ NA ®Yes ❑ No ❑ NA ®Yes ❑ No ❑ NA Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) ABOVE TANKS ARE DOUBLE WALL FIBERGLASS OVER FIBERGLASS TANKS WITH VEEDER-ROOT WRAP AROUND SENSORS INSTALLED INSIDE INTERSTICLE SPACE FOR SECONDARY LEAK DETECTION. ' Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. {California Code of Regulations, Title 23, Section 2637(a)(6)1