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A it ro34i <br />1430 Me Pom 6d P kwy <br />4. TANK ANNULAR TESTING Tr Ch i6 <br />Test Method Developed By- '%Tank Manufacturer 0Industry Standard O Professional Engineer <br />O Other (Spec) <br />Test Method Used: O PressureVacuum <br />� O Hydrostatic <br />O Other (Spec) <br />Test Equipment Used ,5 Z yt C h G m t.ti Equipment Resolution: <br />Is Tank Exempt From Testing? <br />Tank#S?,KCt e <br />❑ Yes 19 No <br />Tank#CjI $751cave <br />❑ Yes 5t No <br />Tank# <br />O Yes ❑ No <br />Tank# <br />❑ Yes O No <br />Tank Capacity: <br />-)'0j Ono (i --a I <br />Tank Material: <br />F1 1 5 <br />F t �j gY' EQ <br />Tank Manufacturer.ss <br />r <br />r <br />Product Stored:C� <br />Wait tinge between applying <br />pressure/vacuum/water and <br />starting test <br />(,), <br />)'( <br />re <br />Yt <br />Test Start Time: <br />. ;PH <br />Initial Reading (Rr): <br />uu in 144 t-` <br />Test Fnd Time: <br />Final Reading (RF): <br />10.01 <br />Test Duration <br />Change in Reading (RF -R,): <br />0-0 h <br />0. <br />Pass/Fail Threshold or Criteria: <br />.�_.�R.. <br />-�•Pa$S <br />Was sensor removed for testing? <br />ng. <br />2-C) <br />_ �-�:�.:.:•.�.._ :;.P = Tara . <br />.. ` '�P'atl . -'P`8SS : ❑�al .. _;, <br />XYes O No O NA �KYes O No O NA O Yes O No ❑ NA <br />v..•-�'.:5?::��O-Fail _� <br />❑ Yes O No O NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />.Yes O No O NA <br />XYes O No O NA <br />❑Yes D No ❑ NA <br />Oyes O No ❑ NA -i <br />C0MMeats — (include Wormation on repairs made Prior to testinp, and recommended ollow-up for failed tests) <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(a)(6)1 <br />Paee 2 of 7 1/13/2003 <br />� bl <br />