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01/0'8/2010 10:04 FAX 916 371 2380 BZ SERVICE STATION 0003 <br />SWRCB, January 2002 Page _ of <br />Comments :: (include tj information on repairs made prior to testing and recommended follow-up for failed tests} <br />W) y)y�,rjr,L <br />L------ <br />1 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 />9 <br />4. TANK ANNULAR TESTING <br />Test Method Developed By: <br />0 Tank Manufacturer "Indus Standard D Professional Engineer <br />0 Other (Specify) <br />Test MothodUsed: <br />0 Pressure <br />'Vacuum <br />0 Hydrostatic <br />0 Other (Specify) <br />Test Equipment Used: Lla <br />Ca I,gQ C <br />Equipment Resolution: <br />Tank# <br />Took # <br />Tank # Tank # <br />Is Tank Exempt From Testing?' <br />XYcs Q No <br />)KY03 0 No <br />-XYes No Li Yes 0 No <br />Tank Capacity: <br />Wk <br />03) <br />'rank MateriaL <br />Tank Manufacturer: <br />Product Stored: <br />Wait time between applying <br />pressure/varmuTalwater and <br />S arti4g test: <br />Test Start Time; <br />Initial Reading (RI). <br />Test End Time; <br />Final Reading (R,;): <br />Test Duration; <br />Change in Reading (Rx -n: <br />Pass/Fail Threshold or Criteria: <br />Was sensor removed for testing? <br />DYes DNo, DNA <br />DYes ONu Q NA <br />0 Yes D No DNA 0 Yes 0 No 0 NA <br />Was sensor properly replaced and <br />verified f <br />functional after testis ? <br />0 Yes 0 No 0 NA <br />D Yes 0 No UNA <br />0 Yes 0 No 0 NA 0 Yes 0 No 0 NA <br />Comments :: (include tj information on repairs made prior to testing and recommended follow-up for failed tests} <br />W) y)y�,rjr,L <br />L------ <br />1 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 />9 <br />