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SWRCS,January 2002 Page of <br /> �. TANK ANNULAR TESTING <br /> "rest Method Developed By: 1�Tank Manufacturer 11 Industry Standard D Professional Engineer <br /> ❑ cher(Spec) <br /> 'Test Method Used: ❑Pressure acuum CJ Hydrostatic <br /> ❑Other(Specify) f ` <br /> Test Equipment Used: mus-�Ve:ee0At.+� u.w• Vuet(rt.a+� �a�� 5 :� Equipment Resolution: W - -3d <br /> Tank# _ Tank# 3 Tank# Flank# <br /> I Tank Exempt From Testing?' ❑Yes o ❑Yes o L]Yes L No ❑Yes ❑ No f <br /> Tank Capacity: <br /> Tank Material: <br /> Tank Manufacturer: 5 GO �i'u-5 C-o f <br /> Product Stored: 1 Y ` <br /> Wait time Cbw n applyingpressure/ aterand <br /> startin te <br /> Test Start Time: t L 3 U --L-11-5-9- <br /> Initial <br /> . 1 ' UInitial Reading(Ri): l� r< � �'e) l-A` <br /> Test End Time: l _ 30 L Q- <br /> -Final Reading(RF): d -16 <br /> Test Duration: IAC U u r L U t t Y- <br /> Change in Reading(Rf-Rr): l <br /> Pass/Fail Threshold or Criteria: p lfo16101< L. 14 ' <br /> Test Result: ass ❑ ail Pass 0 ail Pass El it Pass ❑ ail <br /> Was sensor removed for testing? VYes ❑No [INA Yes L7 No [INA Yes U No 0 A es ❑No NA <br /> Was sensor properly replaced and es ❑No ❑NA es C3 No ❑NA ❑Yes ❑No ❑Nr N Yes ❑No ❑ A <br /> verified functional after testin ? <br /> Comments—(include in ormation on repairs made Prior to testin , and recommended ollow-u or ailed 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,Ti tie 23, Section 2637(a)(6)) <br />