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0 <br />• Page 2 of 6 <br />4. <br />Test Method Developed By: <br />TANK ANNULAR TESTING <br />❑ Tank Manufacturer X bdustry Sanftd ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: <br />❑ Pressure X Vacaum ❑ Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: Liquid Filled Gauge 1% Dial Span Accuracy Equipment Resolution: 30" <br />Tank # Diesel Tank # Tank # Tank # <br />7I!s'TankExempt From Testing?' ❑ Yes X Nopacity: <br />12,000 Gallons <br />Tank Material: <br />Fiberglass/ Steel <br />Tank Manufacturer: <br />Modem Welding <br />Product Stored: <br />Diesel <br />Wait time between applying <br />p ater and <br />starting test: <br />15 Minutes <br />Test Start Time: <br />0830 <br />Initial Reading ft: <br />10" <br />Test End Time: <br />0930 <br />Final Reading (RF): <br />10" <br />Test Duration: <br />1 Hour <br />Change in Reading (RF -R): <br />0" <br />Pass/Fail Threshold or Criteria: <br />W <br />Test Result: <br />X Pm ❑ Fail <br />Was sensor removed for testing? <br />X Yes ❑ No ❑ NA <br />Was sensor properly replaced and X Yeas ❑ No ❑ NA <br />verified functional after testin ? <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 <br />containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment <br />testinaz. lCalifornia Code of Regulations. Title 23. Section 2637(a)(6)1 <br />