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Feb. 6. 2014 9:52AM <br />SWRCB, January 2002 <br />Elm W-10 1.11W-Azjellj W--1% "a 9 M M IOU4 <br />No. 3819 P. 4 <br />RECSVEt-7 <br />Test Method Developed By: <br />Test Method Used: <br />0 Tank Manufacturer 11 Industry Standard 0 ProfessiE&M^" 14 <br />0 Other (Spec6) <br />oPressure 0 Vacuum 0 OY4 V <br />UiW'M1Vlt:N1AL <br />0 Other (Specify) DEPARTMENT <br />Test Equipment Used: <br />Equipment Resolution: <br />Is Tank Exempt From Testing?' <br />Tank# <br />0 Yes 0 No <br />Tank # <br />0 Yes 0 N <br />Tank # Tank# <br />0 Yes 0 No 0 Yes 0 No <br />Tank Capacity: <br />Tank Material: <br />Tank Manufacturer <br />U <br />Product Stored: <br />7 <br />6�5� q <br />Wait time between applying <br />pressore/vacuumAvater and <br />starting test; <br />S <br />I Test Start Time: <br />Initial Reading (RD; <br />16 <br />Test End Time: <br />10.14040 <br />Final Reading (4); <br />/10 "//49 <br />Test Duration. <br />1 <br />44 <br />Change in Reading (Rp-n; <br />a0 <br />Pass/Fail Threshold or Criteria: <br />0 <br />Test Result: <br />0 Pass DFail <br />"ass 0 Fail <br />0 Pass 0 Fail 0 Pass 0 Fail <br />Was sensor removed for testing? <br />DYes ll No DNA <br />Oyes SNo 0 N <br />ClYes 0 N [INA o Yes 0 No o NA <br />Was sensor properly replaced and <br />verified functional aftere.� ? <br />Dyes 0No &NAI <br />3Yes DNo CNA <br />DYes 0Xo DNA DYes DNo DNA <br />Comments— (include information on repairs made prior to testing, and recommendedfallow-upforfaded 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)) <br />Received Time Feb. 6. 2014 9:59AM No -5138 <br />