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Apr 18 03 06:45p <br />SWRCB, January 2002 <br />H&M Escalon <br />Test Method Developed By: <br />Test Method Used: <br />Fr en Hill <br />4, TANK ANNULAR TESTING <br />UL <br />Page 2 of 7 <br />Tank Manufacturer industry Standard Professional Engineer <br />Other (Specify) <br />Pressure Vacuum Hydrostatic <br />Other (Specify) <br />Fauinment Resolution: <br />1 OA"a tlL41LUV ucua voa.u. <br />pt From Testing?' <br />rTankCapacit�y: <br />Tsnk # <br />Yes No <br />Tank # <br />Yes <br />No <br />- <br />Tank P <br />Yes <br />No <br />Tan1C # <br />Yes <br />No <br />Tank Material: <br />Tank Manufacturer: <br />Product Stored: <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />Initial Reading (R�: <br />Test End Time: <br />Final Reading (RO: <br />Test Duration: <br />Change in Reading (Rj RO: <br />Pass/Fail Threshold or Criteria: <br />Test Results <br />Pass Fail <br />Pats <br />l ail <br />Pass. . <br />Fail <br />Pass <br />Pail <br />Was sensor removed for testing? <br />Yes No NA <br />Yes No <br />NA <br />Yes No <br />NA <br />Yes No <br />NA <br />Was sensor properly replaced and <br />-;A&A fimrtinnal aiipr teRtina? <br />Yes No NA <br />Yes No <br />NA <br />Yes No <br />NA <br />Yes No <br />NA <br />Comments — (include infortnation on repairs madeprior to testing, and recommended ollow-u er 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 />