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,Dec OG 07 02: 56p Aff da Test (209J 744-0116 p. 3 <br /> SWRCO,January 2002 Pagc of <br /> A. TANK ANNULAR TESTING <br /> Test Method Developed By: , ttnk Manufacturer n Industry Standard rl Professional Engineer <br /> f Other(Spec) <br /> Test Method Used: I'll Pressure IkNaOuum 0 Hydrostatic <br /> 1A Othe; ' Ci <br /> Test Equipment Used:6rrpS4-V&e4w m ACaa. ave'c eel Equipment Resolution- <br /> MOREEMEEMEM <br /> Tack# _L Tank# 2_ Tank# 3 Tank# <br /> Is Tank Exempt From Testing?' F]Yes RNO 11 Yes DKqO U YH ;&Vo U Yes 0 No <br /> Tank Capacity- 1c),00-D c4c1tovi 10,000 4"Iltopi <br /> Tank Material: r. 6AO.3" <br /> Tank Manufacturer: NO&Vm�)t.( ' <br /> Product Stored: r IA,),rAd �r Ltm Qle M.Se.L_ <br /> Wait time between applying 5v <br /> p1res!ur&Ym%--ui;>ater and <br /> startlin M%r-*" 1'1_0 LA.V <br /> Test Start Time: v (%1. <br /> Initial Reading(Rj): — Io I C-1 HT, <br /> Test End Time: <br /> Final Reading(Rr), 6> &-e4, 10 o 14!� <br /> Test Durntion: t <br /> Change in Reading(RF-R,): <br /> Pass/Fail Threshold or Criteria; <br /> Test Result! pass i l Fail ASS U*7F21[i %kft 0 Fail h Pam (I 4a <br /> Was sensor removed for testing? es LJ No U NA s 0N DNA <br /> FINo DNA Yes 0 No F1 A <br /> Was sensor properly replaced and _jEfcs_[2No [INA Aes 0 No 0 NA �'?es 0N U NA OYes UNo QNX <br /> verified functional after test <br /> COMIMIentg—(include t5Lmadon on repairs made prior to leviing,and recommendedfollow-W&Y LailedLeslj <br /> Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br /> containment,such as systems that am hydrostatically monitored or under constant vacuum,are exempt from periodic containment <br /> testing. (California Code of Regulations,Title 23,Section 2637(a)(6)) <br />