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Page 2 of 8 <br />4. TANK ANNULAR TESTING <br />Test Method Developed By: ❑ Tank Manufacturer 0 Industry Standard ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: ❑ Pressure 0 Vacuum ❑ Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: Vacuum Gauge <br />Tank # 1 Tank # <br />Equipment Resolution: <br />0-30 hg <br />Tank # <br />Tank # <br />Is Tank Exempt From Testing?' <br />❑ Yes ® No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />Tank Capacity: <br />553 Gallons <br />Tank Material: <br />Fiberglass <br />Tank Manufacturer: <br />Owens Corning <br />Product Stored: <br />Diesel <br />Wait time between applying <br />pressure/vacuum/water and starting <br />test: <br />5 min <br />Test Start Time: <br />15:30 <br />Initial Reading (Ri): <br />-10 hg <br />Test End Time: <br />16:30 <br />Final Reading (RF): <br />-10 hg <br />Test Duration: <br />1 hour <br />Change in Reading (RF-Ri): <br />0 <br />Pass/Fail Threshold or Criteria: <br />0 <br />Test Result: <br />0 Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />Was sensor removed for testing? <br />0 Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced after <br />testing? <br />0 Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />` Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, <br />such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. <br />{California Code of Regulations, Title 23, Section 2637(a)(6)) <br />