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"SWRC9, January 2002 Page L of <br />Fest Method Developed By: ank Manufacturer ❑ Industry Standard ❑ Professional Engineer <br />ther (Specify) <br />Test Method Used: ❑ Pressure Al Vacuum ❑ Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: G4 �-� w. �., 0 N Equipment Resolution: -t Z 3d f gg- <br />5p9��aa. ,nKK, tl <br />Tank # Tank # 4 Tank # `Tank #' <br />Is Tank Exempt From Testing?' ❑ Yeso ❑ Yes XNo ❑ Yes ❑ No 4\6 ❑Yes ❑ No <br />Tank Capacity: 2..�j '703 Gq I � <br />14 (o Gai <br />Tank Material: <br />Tank Manufacturer: <br />Product Stored: jZe-c E c� �j <br />5u <br />u <br />t' <br />Wait time be applying <br />pressure/ acuum/ ter and <br />t <br />startingto 1.` V-1- <br />t, � v u K <br />Test Start Time: 3 <br />Initial Reading (Rj): <br />Test End Time: E �. <br />, 6 <br />Final Reading (RF): --- to € <br />_ 0 1+ <br />Test Duration: 'Z knak� <br />Z.. 0LA V <br />Change in Reading (RF -RI): <br />0ju} - <br />Pass/Fail Threshold or Criteria: ��,s i <br />p (4 <br />Test Result: Pass ❑ Fail <br />ass ❑ Fail <br />❑ Pass ❑ Fail <br />Pass ❑ it <br />Was sensor removed for testing? ❑ Yes o ❑ NA <br />❑ Yes M6 ❑ NA <br />es ❑ No ❑ NA, <br />4 Yes ❑ No ❑ A <br />Was sensor properly replaced and <br />❑Yes ❑ No NA <br />functional <br />El Yes ❑ No �NA <br />Yes ❑ No 13NA <br />1 Yes ❑ No ❑ <br />verified after testin ? <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <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 />