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4• TANK ANNULAR TESTING <br /> Test Method Developed By: ❑Tank Manufacturer ®Industry Standard ❑ Professional Engineer <br /> ❑ Other(Spec) <br /> Test Method Used: ❑Pressure ®Vacuum ❑Hydrostatic <br /> ❑Other(Specie) <br /> Test Equipment Used:Test plugs,venturi pump and gauges Equipment Resolution: 0.5%of span <br /> Im 00-7 <br /> 02 <br /> 02 <br /> A s Tank# �- Tank# —� Tank# q 1 <br /> Tanl<# <br /> Is Tank Exempt From Testing?' ❑ Yes • EMo ❑ Yes No ❑ Yes ( Io ❑ Yes El No <br /> Tank Capacity: <br /> i Tank Material: j�= P4SS <br /> i Tank Manufacturer: � a <br /> Product Stored: <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> startin test: N1 1 r'' E i'111✓ r`��N`, <br /> Test Start Time: S <br /> Initial Reading(Rj): �- <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: --7•. 0 �,• 0 <br /> Change in Reading(RF-Ri): i? i'j?-e r7 j-7 r <br /> Pass/Fail Threshold or Criteria: No detectable Loss No detectable Loss No detectable Loss No detectable Loss <br /> Test Result: ass 0 Fail JrPass 0 Fail ass ❑Fall Pass 0 Fail <br /> Was sensor removed for testing? ❑Yes No ❑NA ❑Yes o ❑NA ❑Yes o❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and —yes ❑No A Yes I <br /> verified functional after testin ? ❑No bMA (es ❑No A ._ Yes ❑No ❑NA <br /> Comments—(include informations on repairs made prior to testing and recommended follow up for failed tests) <br /> t <br /> I <br /> I <br /> I <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 ander constant vacuum,are exempt from periodic containment <br /> testing. {California Code of Regulations,Title 23,Section 2637(a)(6)1 <br /> ii <br />