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7SWRCB, January 2002 0 <br />4. TANK ANNULAR TESTING <br />Page 2 of 7 <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: Vacuum Gauge Equipment Resolution:100% <br />E -M <br />87 Gasoline <br />Is Tank Exempt From Testing?' <br />❑ Yes ® No ❑ Yes ❑ No ❑ Yes ❑ No <br />❑ Yes ❑ No <br />Tank Capacity: <br />12,000 <br />Tank Material: <br />Steel <br />Tank Manufacturer: <br />Unknown <br />Product Stored: <br />87 Gasoline <br />Wait time between applying <br />pressure/vacuum/water and starting <br />test: <br />15 Minutes <br />Test Start Time: <br />9:30am <br />Initial Reading (Ri): <br />10.2 <br />Test End Time: <br />10:30am <br />Final Reading (RF): <br />10.2 <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 />Z Pass ❑ Fail ❑ Pass [:1 Fail ❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />Was sensor removed for testing?rN <br />s E:1 No E] NA ❑ Yes El No [:1 NA El Yes E] No El NA <br />❑ Yes [:1 No [:1 NA <br />Was sensor properly replaced ands <br />verified functional after testing? <br />El No ElNA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />I 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 />testine. ;California Code of Reeulations. Title 23. Section 2637(a)(6)1 <br />