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SWRCB,January 2002 Page 5 of 12 <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑Tank Manufacturer X Industry Standard J Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure x Vacuum ❑Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: Analog Gauge Equipment Resolution: +/-0.25 <br /> Tank# 91 Premium Tank# Diesel Tank# Tank# <br /> Is Tank Exempt From Testing?' ©Yes ❑No X,Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> Tank Capacity: 12,000 12,000 <br /> Tank Material: Fiberglass Fiberglass <br /> Tank Manufacturer: Unknown Unknown <br /> Product Stored: 91 Premium Diesel <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(Ri): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-RI): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: ❑ Pass '- ❑Fail ❑ Pass ❑Fail 0 Pass D Fail ❑ Pass D Fail <br /> Was sensor removed for testing? ❑Yes :J No 9 NA ❑Yes ❑No 9 NA ❑Yes ❑No ❑NA ❑Yes L. No ❑NA <br /> Was sensor properly replaced and ❑Yes ❑No CE NA ❑Yes ❑No X NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> verified functional after testing? <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> a 3A <br /> I— I <br /> NOV .10 2016 <br /> _a as eaR �t -NI L HEAL <br /> 0IT <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 under constant vacuum,are exempt from periodic containment <br /> testing. (California Code of Regulations,Title 23,Section 2637(a)(6)) <br />