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a x <br /> SWRCB,January 2002 Page Z of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: irank Manufacturer 0 Industry Standard 0 Professional Engineer <br /> 0 Other(Specify) <br /> Test Method Used: 0 Pressure ❑Vacuum 0 Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: (��,J¢ e A , tie my v e .F -tEquipment Resolution: ,a <br /> All <br /> Tank#4- 4 3 Tank# Tank# AjTank# <br /> Is Tank Exempt From Testing?' ❑Yes No ❑Yes o ❑Yes ❑No 0 Yes ❑No <br /> Tank Capacity: 12 t o j 4 A51AI 11,14, <br /> Tank Material: <br /> Tank Manufacturer: _-P <br /> Product Stored: <br /> Wait time between applying , <br /> press v uu ater and <br /> startin tes : ',fib j-,( a -e S -50 Fr ire at 1-f <br /> Test Start Time: <br /> Initial Reading(110: <br /> Test End Time: 3 <br /> Final Reading(RF): `' lxt" <br /> Test Duration: l h ou , 16 <br /> Change in Reading(RF-Ri) <br /> Pass/Fail Threshold or Criteria: , ,; <br /> Test Result: Pass 0 Fail ArPass ❑ Fail Pass © Fai 0 Pass 0 FA <br /> Was sensor removed for testing? es 0 No 0 NA Yes ❑No DNA I Yes 0 No ❑ 0 Yes 0 No 0 NA <br /> Was sensor properly replaced and Yes 0 No ❑NA Yes 0 No 0 NA 0 Yes 0 No 0 NA ❑Yes 0 No ❑NA <br /> verified functional after testin ? ,� <br /> C0MMents—(include information on repairs made prior to testing and recommE!!�e w upfor failed tests) <br /> Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br /> containment, ,uch as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment <br /> testing. {California Cade of Regulations, Title 23, Section 2637(a)(6)) <br />