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I <br />• • RECEIVED <br />MAR 2015 <br />4, TANK ANNULAR TESTING ENVII <br />'fest Method Developed By: ® Tank Manufacturer Z Industry Standard 0 Prosfess � a w <br />Q Cather (Sloe cif,) <br />__._._...._..._____� <br />'fest Method Used: 11 Pressure; Z vacuum ® Hydrostatic <br />] Other (S� veecily) <br />Test Equipment Used: VACUUM GAUGE Equipment Resolution: 0.5" <br />woman= NEW <br />Tank # iDSt. <br />Tank # <br />Tank # Tank # <br />Is Tank. Exempt From "resting?' <br />..... ......�__ <br />Yes ® No <br />[] Yes [I Not <br />¢ E] Yes E] No Yes E:1 No <br />........ <br />Tank Capacity <br />12000 <br />Tank Material:ST <br />_..__. <br />S <br />........... -_____._ <br />_.��..�. <br />.__....._ <br />"hank Manufacturer: <br />___ �.�..w.......................... <br />UN <br />_m__m___...._........................ <br />Product Stored: <br />1Dai, <br />Wait time between applying <br />press urelvacu m water and <br />.5 MIN <br />i <br />starting test: <br />j <br />'!'est Start Time: <br />1.:1:38 <br />Initial Reading (fir): <br />101" <br />j <br />Test End 'I"ince: <br />15:38 <br />Final Reading (Rr): <br />10" <br />'feat Duration: <br />1 HR <br />Change in Reading (RI. R): <br />...... __........ _._ ..____._...m .................. ................ ..... <br />0 <br />...... .._.... ... ..............................................__ <br />PasstFail "i`hreshuld or Criteria: <br />t}W�Wy <br />W� <br />Test Result- <br />Pass I�'ail ` <br />Pass O- Fa <br />I' s m . l`ai P. ( Pass ..� Eat <br />Was sensor removed for testing`? _ <br />(Z Yes ❑ No ❑ NA <br />® Yes C] No ®ISA <br />❑ Yes � NoEl NA ® Yes ®No O NA <br />_.... <br />Wes sensor props rly replaced and <br />...__._. _____ .............._..___ __.__. _.......__.....__ <br />® Ye` ( Nes NA <br />.......__..._......_. <br />Yes NoE] NA <br />.. _._ ._. _.. _ _...._.__..__ _..._..._ <br />( Y€ a No ❑ NA ❑ Yes [� %Ick �] I~IA <br />verified functional after testing- <br />esting? <br />Comments <br />Com meats — (include inf vrmation on repairs s t ode prior to tcsting unci re cvtarrretrtled full(in,-uXs fray leriie>,d tests} <br />87 AND 91 ANNULARS BRINE FILLED <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 front periodic containment <br />testing. {California Code of Regulations, Title 23, Section 2637(a)(6)) <br />Secondary Containment Test Results 2 of 2 <br />