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I Ir SWRCB, January 2002 <br />Test Method Developed By: <br />I Test Method <br />4. TANK ANNULAR TESTING <br />�8 n Manufacturer ❑ Industry Standard <br />❑ Other (Spec) <br />❑PressureVacuum <br />❑ Other (Spec) / \ <br />Page —of a <br />❑ Professional Engineer <br />❑ Hydrostatic <br />Test Equipment Used: ass <br />Equipment Resolution: 3h <br />u�z;_ Tank # ` Tank # <br />Tank # <br />Tank # <br />Is Tank Exempt From Testing? 1 ❑ Yes jArNo <br />❑ Yes Woo <br />❑ Yes ❑ N <br />❑ Yes ❑ No <br />Tank Capacity: N v4-5 } � <br />I q <br />17, le - <br />Tank Material: ('r(� 5� 15 k— <br />G 1 55 L <br />Tank Manufacturer: Tau S &0 <br />to <br />Product Stored: Sic rte¢ �YSe <br />vliec f� <br />Wait timejrjween applying <br />pressoracu ater and <br />startin test: 1A, ID t' V <br />�. a <br />Test Start Time: g ` ` <br />t Z V' <br />Initial Reading (Rj): <br />Test End Time: i IV <br />Final Reading (RF): <br />Test Duration: 1' <br />G.A'n Ivo <br />1 <br />F: dA.,{ } p' <br />Change in Reading (RF -RD: <br />Pass/Fail Threshold or Criteria: N o Los& f 0 ' <br />®Q 0 #t)ss rt gg <br />Test Result: Pass ❑ Fail <br />lycpass ❑ Fail <br />❑ Pass ❑ i1 <br />Pass ❑ ail <br />Was sensor removed for testing? es ❑ No ❑ NA <br />es ❑ No ❑ NA <br />Yes ❑ No A <br />Yes ❑ NotAWas <br />sensor properly replaced and es ❑ No ❑NA <br />verified functional after testin ? <br />�'es ❑ No ❑NA <br />❑Yes ❑ No ❑ <br />❑ Yes ❑ No <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 from periodic containment <br />testing. {California Code of Regulations, Title 23, Section 2637(a)(6)) <br />