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SWRCB,-January 2002 <br />4. TANK ANNULAR TESTING <br />Page of <br />Test Method Developed By: <br />® Tank Manufacturer ® Industry Standard Professional Engineer <br />Other (Spec) <br />Test Method Used: <br />Pressure <br />❑ Vacuum <br />Hydrostatic <br />Other (Specify) <br />Test Equipment Used: GAUGE <br />Equipment Resolution: <br />Tank # <br />Tank # <br />Tank # <br />Is Tank Exempt From Testing?' <br />Yes ® No <br />Yes ❑ No <br />Yes No <br />Yes <br />No <br />Tank Capacity: <br />4,000 <br />Tank Material: <br />FC/S <br />Tank Manufacturer: <br />MODERN <br />Product Stored: <br />DIESEL <br />Wait time between applying <br />pressure/vacuum/water and <br />10 MINUTES <br />starting test: <br />Test Start Time: <br />9:35 <br />Initial Reading (Rj): <br />-7.0 hg <br />Test End Time: <br />10:35 <br />Final Reading (RF): <br />-7.0 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 />® Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass <br />❑ Fail <br />Was sensor removed for testing? <br />® Yes No NA <br />❑ Yes No NA <br />Yes No NA <br />Yes <br />No NA <br />Was sensor properly replaced and <br />®Yes No NA <br />El Yes No NA <br />Yes No NA <br />Yes <br />No NA <br />verified functional after testing? <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 />testing. {California Code of Regulations, Title 23, Section 2637(a)(6)) <br />