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C <br />SWRCB. January 2002 <br />CHP <br />Stockton, CA <br />1/02/04 <br />RAO ►- -\l ' <br />�i <br />Page 2 of 7 <br />Test Method Developed By: [ ] Tank Manufacturer [X ] Industry Standard [ ] Professional Engineer <br />[ ] Other (Specify) <br />Test Method Used: [ ] Pressure [X ] Vacuum [ ] Hydrostatic <br />[ ] Other (Specify) <br />Test Equipment Used: Vacuum Gage Equipment Resolution: <br />i <br />a � <br />Is Tank Exempt From <br />Testin ?l <br />_Tank # . .., <br />Tan k # <br />�.. . . <br />Tank # <br />[ ] Yes [ X] No <br />[ ] Yes [ ] No <br />[ ] Yes [ ] No <br />[ ] Yes [ ] No <br />Tank Capacity: <br />12,000 <br />Tank Material: <br />Fiberglass <br />Tank Manufacturer: <br />Joor-Eleutron <br />Product Stored: <br />Regular -Unleaded <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />5 Minutes <br />Test Start Time: <br />9:30 A.M. <br />Initial Reading (RI): <br />7 P.S.I. <br />Test End Time: <br />10:30 A.M. <br />Final Reading (Rf): <br />Test Duration: <br />One Hour <br />Change in Reading (Rf-Rl) <br />-0- <br />Pass/Fail Threshold or <br />Criteria: <br />-0- <br />Test Result: <br />[X] I'ASS [ ]TAIL <br />[ 1' PASS [ ]' FA,1L, . ' <br />[ J PASS [ j FAEL <br />[ l PASS j ] FAIL <br />Was sensor removed for <br />testing? <br />[X] YES [ ] NO <br />[ ] N/A <br />[ ]YES [ ] NO <br />[ ] N/A <br />[ ] YES [ ] NO <br />[ ] N/A <br />[ ] YES [ ] NO <br />[ ] N/A <br />Was sensor properly replaced <br />& verified functional after <br />testing? <br />[X] YES [ ] NO <br />[ l N/A <br />[ ] YES [ ] NO <br />[ ]N/A <br />[ ] YES [ ] NO <br />[ ] N/A <br />[ ] YES [ ] NO <br />[ ] N/A <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 containment, such as systems <br />that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. {California Code of Regulations, Title 23, <br />Section 2637(a)(6)) <br />