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Is Tank Exempt From Testing?' <br />IM Yes ❑ No <br />M Yes ❑ No <br />IN Yes <br />❑ No <br />W Yes ❑ No <br />Tank Capacity: <br />20,000 <br />20,000 <br />20,000 <br />12,000 <br />Tank Material: <br />Fiberglass <br />Fiberglass <br />Fiberglass <br />Fiberglass <br />Tank Manufacturer: <br />Unknown <br />Unknown <br />Unknown <br />Unknown <br />Product Stored: <br />Diesel <br />Diesel <br />Diesel <br />87 Unleaded <br />Wait time between applying <br />pressurelvacuum/water and <br />starti test: <br />Test Start Time: <br />Initial Reading (RE): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (Rp-Ro: <br />PasslFail Threshold or Criteria: <br />Test ltesu�t: <br />❑ Pass ❑ Fail . <br />o Paas . 01Fu . <br />o:Pass .:a iFail ' <br />fl psis ' o>ais <br />Was sensor removed for testing? <br />❑ Yes ❑ No RNA <br />❑ Yes ❑No INNA <br />❑ Yes ❑ No <br />II NA <br />❑ Yes ❑ No Ig NA <br />Was sensor property replaced and <br />verified functional after testin ? <br />❑ Yes ❑ No [INA <br />❑ Yes ❑ No IM NA <br />❑ Yes ❑ No <br />INNA <br />❑ Yes ❑ No [INA <br />Comments — (include information on repairs made prtor to testing, and recommendedfollow-up <br />for failed tests) <br />**Tank #146 annular space are liquid tilled with brine. <br />1 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(ax6)) <br />