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:7 <br />4. TANK ANNULAR TESTING <br />Page 1 of —8- <br />Test Method Developed By: ❑ Tank Manufacturer ® Industry Standard ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: ❑ Pressure ®Vacuum ❑ Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: vac gauge,stop watch <br />Equipment Resolution: -1.0 <br />Tank #Unleaded <br />Tank #Premium <br />Tank #Diesel Tank # <br />Is Tank Exempt From Testing?' <br />® Yes ❑ No <br />® Yes ❑ No <br />® Yes ❑ No ❑ Yes ❑ No <br />Tank Capacity: <br />Tank Material: <br />Tank Manufacturer: <br />Product Stored: <br />gasoline <br />gasoline <br />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: <br />❑ Pass ;; ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail ❑ Pass ❑ Fail <br />Was sensor removed for testing? <br />❑Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />El Yes ❑ No ❑NA ❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testi n ? <br />RNA ❑ No❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes❑ No ❑ NA El Yes [:1 No ❑ NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />Note Premium/Diesel and Unleaded tanks are double wall tank wet annulars hydrostatic system. <br />PAGE -2 of 8 <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. <br />