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2- <br /> SWRCB,January 2002 Page or <br /> 4. TANK ANNUIAR TESTING <br /> Test Method Developed By: ank Manufacturer ❑Industry Standard ❑Professional Engineer <br /> ❑ er(Spec),. <br /> Test Method Used: ❑Pressure Vacuum ❑Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used:Gg Q.euua tw-. , (r-&VS n W1 AA . Equipment Resolution: <br /> OEM <br /> Tank# Tank# Z Tank# 3 Tank# L( <br /> Is Tank Exempt From Testing?' ❑Yes N7 <br /> o ❑Yes o ❑Yes o ❑Yes o <br /> Tank Capacity: 1 2 k 12-lt-- 514-- 5 1z <br /> Tank Material: Irl mss <br /> Tank Manufacturer: S c.G C..O v t�S C-t) <br /> Product Stored: ,,t +✓ 2 e' WWa 01' c L <br /> Wait timebb applying <br /> press vacuum/ ter and <br /> startin I kouv- LIo U V- <br /> Test Start Time: O U q 10 Q <br /> Initial Reading(RO: r t b W —kb ! — 161-12 , <br /> Test End Time: [d o ®(� l 0 ,3 Q D ; �( t ' , <br /> Final Reading(RF): (b —l!7 t-t . Q 1¢ <br /> Test Duration: y 11 r <br /> Change in Reading(RF-RD: <br /> Ps/Fail Threshold or Criteria: l) (} (oS S i NO Lb s 5 e <br /> Las. �t� c <br /> Test Result: ass ❑Fai Pass ❑Fail k1pass ❑Fail ass ❑Fail <br /> Was sensor removed for testing? es ❑No ❑NA es ❑No ❑NA es ❑No ❑NA es ❑No ❑NA <br /> Was sensor properly replaced and es ❑No ❑NA L<es ❑No ❑NA es ❑No ❑NA ❑No ❑NA <br /> verified functional after testin ? 2! 1 2 <br /> Comments—(include in ormation on re airs made rid <br /> r to testin , and recommended ollow-u or ailed tests) <br /> �cdsr tG vr;4��e GcS~s at <br /> Cd 1,1e,ev S r° v� . d , <br /> r.Ay .. . Tis - Pew ed l <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(x}(6)) <br />