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SWRCB,"January 2002 Page of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: 0 Tank Manufacturer Ofndustry Standard 0 Professional Engineer <br /> 0 Other(Specify) <br /> Test Method Used: 0 Pressure i?Vacuum 0 Hydrostatic <br /> 0 Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> oR- .1t. 11-, -_ --1 11 ..r_.-%vwl" ...... <br /> Tank Tank# Tank# Tank 4 <br /> Is Tank Exempt From Testing?' 0 Yes 0 0 Yes 0 No 0 Yes 0 No 0 Yes 0 No <br /> Tank Capacity: L)1 <br /> Tank Material: <br /> Tank Manufacturer: <br /> Product Stored: <br /> Wait tifne between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(RI): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: (Z--- <br /> Change in Reading(RF-RI): 42( <br /> Pass/Fail Threshold or Criteria.- <br /> � t � : <br /> .Test Result: O4Pats-:.:E Fail ::. ass 0 Pass 0 Fail 0 Fa11. DPass ❑Fail. <br /> Was sensor removed for testing? 8' es 0 No 0 NA 0 Yes ONo ONA 0 Yes 0 No 0 NA 0 Yes 0 No 0 NA <br /> Was sensor properly replaced and E-IYes ONo ONA 0 Yes 0 No 0 NIA 0 Yes 0 No ONA 0 Yes 0 No 0 NA <br /> verified functional after testing? <br /> Comments— (include it on repairs made prior to testing, and recommended folIcvv-upfor 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 <br />