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OIRCB, January 2002 <br />1 <br />4. TANK ANNULAR TESTING <br />n <br />Page —�— of L <br />Test Method Developed By: <br />0 Tank Manufacturer ndustry Standard 0 Professional Engineer <br />0 Other (Sped) <br />T Pst Wthn.l T Ned <br />_ <br />0 Pressure <br />0 Other (Specify) <br />Vacuum <br />0 lyyd^ostatic <br />Test Equipment Used: <br />Equipment Resolution: <br />Tank # <br />Tank # <br />Tank # ,� <br />Tank # <br />Is Tank Exempt From Testing91 <br />0 Yes lllo <br />0 Yes R No <br />0 Yes E'No <br />0 Yes E"No <br />Tank Capacity: <br />UV- <br />U r.. <br />Tank Material: <br />.T LS� <br />L <br />Tank Manufacturer: - <br />v,C <br />v <br />t) j— <br />Product Stored: <br />ekor'-w n <br />` ESC -L <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />m <br />/a <br />Test Start Time: <br />` <br />5/o <br />930 <br />S -T) <br />Initial Reading (RO: <br />—/a <br />— <br />/n M. <br />Test End Time: <br />Id lb <br />zo 3C) <br />/O 5-0 <br />Final Reading (RF): <br />---/a h46 <br />v ff4 <br />Test Duration: <br />Change in Reading (RF -RI): <br />jol <br />Pass/Fail Threshold or Criteria: <br />Test Wt: <br />Q .`Pass Q Faii <br />ass 0°.]Fail <br />fl bass . 0 Fail:'� <br />CI Fail <br />Was sensor removed for testing? <br />0 Yes 0 No 0 NA <br />B�.Ires 0 No ® NA <br />.BTes 0 No 0 NA <br />21es 0 No 0 NA <br />Was sensor properly replaced and <br />verified functional after testin ? <br />0 Yes 0 No 0 NA <br />Rtes 0 No 0 NA <br />des 0 No 0 NA <br />2-�;s 0 No 0 NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />%kA- -- �/ --.�0 7- T s?s AA ,J(lbw . S �SgC cit — OCLL O l 7 <br />'�_' �- �o►J£�2 wt SJ T?�.1 �a2 -t +.1K- i Co�t_D lk �, <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 <br />