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FROM (WEN SEP 13 2005 1 ' 4/ST. 18:03/No, 6843597367 P 4 <br />Cly, January 2002 Page of ID <br />Comments — (include information on re 'rs made rior to testin , and recommendedfollow- or ailed tesrs <br />-CeS <br />i <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 />testing. {California Code of Regulations, Title 23, Section 2637(a)(6) ) <br />4. TANK. ANNULAR TESTING <br />est Method Developed By: <br />XTank Manufacturer <br />0 Other (Specify) <br />❑ industry Standard ❑ professional Engineer <br />Test Method Used: <br />0 Pressure <br />0 Other (Specify) <br />Vacuum <br />❑ Hydrostatic <br />Test Equipment Used: L4 G ti,, u V% <br />Tank # j 17 <br />Tank# .P <br />Equipment Resolution: b - 3 o <br />Tank # 7. Tank # <br />Is Tank ]Exempt From Testing?' <br />❑ Yes o <br />❑ Yes No <br />0 Yes RNo <br />❑ Yes 0 No <br />Tank Capacity: <br />low <br />104 <br />b <br />Tank Material: <br />- -Q. t ( !a <br />15t4zf' FAIL <br />1101 F <br />Tank Manufacturer: <br />; n- <br />A4 o Aoki <br />Product Stored: <br />27 <br />s! <br />Wait time between applying <br />pressure/vacuum/water and <br />Stest: <br />Test Start Time: <br />10% 3 <br />/01. <br />Initial Reading (R,): <br />112. 7$-" , <br />� t{1 <br />' <br />Test End Time: <br />I <br />Final Reading (R¢): <br />v, 7S" ` ` <br />A Son' <br />Test Duration: <br />4e - <br />Change in Reading (Rf Rt): <br />-Z40— <br />Pass/>+ail Threshold or Criteria: <br />-t9— <br />.p -- <br />Test Results <br />❑ Fail <br />0 Pass VFan <br />9 Pan ❑ Fail <br />❑]Pass d FAR <br />Was sensor removed for testing? <br />es ❑ No O NA <br />❑ Yes 014o ❑ NA <br />RYes ❑ No ❑ NA <br />O Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after tes ' ? <br />Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />A Yes ❑ No ❑ NA <br />0 Ycs ❑ No ❑ NA <br />Comments — (include information on re 'rs made rior to testin , and recommendedfollow- or ailed tesrs <br />-CeS <br />i <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 />testing. {California Code of Regulations, Title 23, Section 2637(a)(6) ) <br />