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, S <br />SWRCB, January 2002 <br />J T A NY A ATNT T7 A D TrV Q yr ei <br />Page 2-- of a <br />.v <br />Test Method Developed By:Tank Manufacturer 0 Industry Standard C Professional Engineer <br />0 Other (Spec) <br />Test Method Used: ❑ Pressure Yvacuum C Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: U cOUAOVI <br />a i,\f _ Equipment Resolution: — E Z — 3 0 (-} <br />Tank # .Ir t✓ 2, `Tank # t Tank # AkTank # <br />Is Tank Exempt From Testing?' <br />Tank Capacity: <br />0 Yes o <br />\'N` 0 Yes 0 No <br />0 Yes ❑ No <br />0 Yes ❑ No / <br />Tank Material: <br />eeS S <br />; <br />Tank Manufacturer: <br />x V2, s <br />Product Stored: <br />D i <br />Wait time applying <br />pressure/uum/ ater and <br />starting tes : <br />3 v r� i 'r , L4, <br />; <br />d <br />Test Start Time: <br />Initial Reading (Rj): <br />Test End Time: <br />le) Zd <br />Final Reading (RF): <br />_ 16 t4 - <br />Test Duration: <br />LA C, l v' <br />Change in Reading (RF-Rr): <br />du 14-c . <br />Pass/Fail Threshold or Criteria: <br />iJ() to 53 ✓t 14,1 <br />Test Result: <br />WPM ❑ Fail <br />Pass ❑ Fail <br />❑ JSass ❑ F it <br />Pass ❑ F it <br />Was sensor removed for testing? <br />❑ Yes gNo ❑ NA <br />Yes ❑ No 0 N : <br />❑ es 0 No ❑ N�k <br />Yes ❑ No 0A <br />Was sensor properly replaced and <br />verified functional after testing? I <br />I <br />0 Yes ❑ No NA <br />-- 1/. <br />❑ Yes ❑ No ❑ NA <br />Yes ❑ No O NA <br />❑ <br />1. � -] <br />❑Yes No ❑ N <br />Comments — <br />on repairs made prior to testing, and recommended <br />ed <br />6 6o la -Q t t d Yt i . c� �. eti a� ,.� - _ "L= v4- m Y$e c aAA, — <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. f California Code of Regulations, Title 23, Section 2637(a)(6)) <br />