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SWRCB, January 2002 <br />Test Method Developed By: <br />Test Method Used: <br />Test Equipment Used: <br />4. TANK ANNULAR TESTING <br />❑ Tank Manufacturer )Nndustry Standard <br />❑ Other (Spec) <br />❑ Pressure Vacuum <br />❑ Other (Specify) <br />Page 2 of L <br />❑ Professional Engineer <br />❑ Hydrostatic <br />Is Tank Exempt From Testing?' <br />Tank Capacity: <br />Tank Material: <br />Tank Manufacturer: <br />Product Stored: <br />Wait time between applying <br />pressure/vacuum/water and <br />startin test: <br />Tank # 0.1'ea <br />❑ Yes 2�-No <br />S f ea <br />IF <br />v <br />f <br />Tank # <br />t quipment Resolution <br />Tank # <br />Tank # <br />Ll Yes 11 No <br />11 Yes ❑ No <br />❑ Yes ❑ No <br />Test Start Time: <br />Initial Reading (Ri): <br />U %► <br />Test End Time: <br />_ J <br />Final Reading (RF): <br />n <br />Test Duration: <br />l <br />Change in Reading (RF -R,): <br />, <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />,i( Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑Fail <br />Was sensor removed for testing? <br />Was sensor properly replaced and <br />verified functional after testing? <br />Yes ❑ No ❑ NA <br />'d:Yes ❑ No ❑ NA <br />❑ Yes ❑ No [INA <br />❑Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />COmmentS — (include information on repairs made prior to testing, and recommended ollow-u or 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)} <br />