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a i <br /> . TANK ANNULARTESTING <br /> Test Method Developed By: D Tank Manufacturer IN Industry Standard D Professional Engineer <br /> ®Other(Spec ) <br /> Test Method Used: D Pressure ®Vacuum D Hydrostatic <br /> n other(Specify) <br /> Test Equipment Used:Vacuum Gauge Equipment Resolution: .1 "HG <br /> Tank# f Tank# Tank# Tank# <br /> Is Tank Exempt From Testing?' KYes D No ❑Yes D No D Yes D No D Yes D No <br /> Tank Capacity: <br /> Tank Material: <br /> Tank Manufacturer: <br /> Product Stored: l , <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> startipAtest: <br /> Test Start Time: <br /> Initial Reading(Rj): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-&): <br /> Pass/Fail Threshold or Criteria: 2"HG <br /> Test Result: D Pass 0 Fail D- Pass D Fail D Pass D Fail D Pass ®Fail <br /> Was sensor removed for testing?. D Yes D No DNA D Yes D No DNA D Yes D No D NA D Yes D No D NA <br /> Was sensor properly replaced and Dyes D No DNA D Yes D No DNA D Yes D No D NA D Yes D No DNA <br /> verified functional after ting? <br /> Comments —(include ItaforlltQtiOrt on PepQiPS made pPiOP totesting, Peco�rrrnended follow-up for failed tests) <br /> ' <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 />