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DEC -31-2002 10:37 AM <br />SWRC13. January 2002 <br />*EE PUMP CO. <br />4, TANK ANNULARTESTINC <br />20937 9398 <br />P.04 <br />Page — of <br />Test hfedtod Developed Rv: Tank Manufacturer 26dustry Standard 0 Professional Engineer <br />0 Other (S co) <br />Test Medtod Used: C Pressure Irvacuum 0 Hydrostatic <br />Odier (S eco) <br />i Tcst Equipment Used: vul &4Q <br />Equipment Resolution: <br />Tank# Tank p <br />T <br />Tank # Tank # <br />I Is Tank Exempt From Testing4' <br />0 Yes 31<0- 0 Yes 0 No <br />0 Yes 0 No <br />0 Yes C No <br />rank:capacity: <br />&7W b� <br />Tails Material: <br />S w:rL <br />Tank Itanufacturcr: <br />t a <br />Product Stored; <br />r <br />Wait time between applying <br />pressure/cacuunt/water and <br />swrin . test: <br />i Test Strut Time: <br />! 1 <br />Initial Reading (Rt): <br />Test End Time: <br />8 <br />Final Reading (Rr): <br />7a <br />Test Duration: <br />may,.e <br />change in Reading (Rr-R,): <br />/ <br />Pass,'Fail Threshold or Criteria: <br />5,S <br />Test Result: ';afass', <br />O Fall :( 0 Puss : 0 Fail <br />0 Pass 0 Fail <br />0 Pass 0 Fail <br />"'as -sensor removed for testing? 10Yes <br />0 No DNA ]Ycs '-,No 0 NA <br />G Yes -'-!No 0NA <br />0 Yes 0 No CNA <br />Ras sensor properir replaced and <br />0 Yes G No NA --,Yes =No CNA <br />0 Ycs C: No CNA <br />C Yes 0 No CNA <br />crified functional after testing'! <br />__ <br />Comments — (include informettinn on repnirsunode prior to Resting, onrl recaentendedfollmr•up for jailed rests) <br />Secondary containment systems where die continuous monitoring automatically monitors both the primary and secondary <br />containment, such as systems dint are hydrostatically monitored or under constant vacuum, arc exempt from periodic containment <br />testing, (California code of Regulations, Tide 23, Swim 2637(n)(0)) <br />