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SWRCB, January 2002 Page 2 of 5 <br />4. TANK ANNULAR TESTING <br />Test Method Developed by ❑ Tank Manufacturer ® Industry Standard ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used ❑ Pressure ® Vacuum ❑ Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: 4" dial guage Equipment Resolution: .2 <br />Tank # UE046UO02 Tank # Tank # Tank # <br />Is Tank Exempt From Testing? (►) <br />❑ Yes ® No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />Tank Capacity: <br />4010 Gat <br />Tank Material: <br />Steel/Clad <br />Tank Manufacturer: <br />Modem Welding <br />is oduc;t Stored: <br />Diesel <br />Wait Time between applying <br />pressure/vacuum/water and starting <br />test: <br />15 min <br />Test Start Time: <br />9:30 am <br />Initial Reading (Ri): <br />-10" HG <br />Test End Time: <br />10:30 am <br />Final Reading (Rf): <br />-10" HG <br />Test Duration: <br />I Hour <br />Change in Reading (Rf - Ri): <br />0 <br />PasslFail Threshold or Criteria: <br />0 <br />Test Result <br />0 Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />Was Sensor Removed for Testing? <br />® Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Was Sensor properly replaced and <br />verified functional after testing? <br />❑ Yes ® No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Continents include any information on repairs made prior to testing, and recommended follow-yfor failed tests <br />Sensor reinstalled to low point but not tested. <br />(1) Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such as <br />sysrtems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. ;California Code of <br />Regulations, Title 23, Section 2637(a)(6)) <br />