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Page 2 of 9 <br />1. TANK ANNULAR TESTING <br />Test Method Developed By. ❑ Tank Manufacturer ®Industry Standard ❑Professional Engineer <br />❑Other (Specif') <br />Test Method Used: ❑Pressure ®Vacuum ❑Hydrostatic <br />❑Other (S.pecifj) <br />Test Equipment Used: See attached testing procedur" Equipment Resolution: <br />Tank # 91 Tani: # Tank # <br />Is Tank Exempt From Testing?' T' ❑ Yes ZNo ❑ Yes 0 No ❑ Yes ❑ No ❑ Yes ❑ NO <br />Wank Capacity: <br />Tank Material: Fiberglass <br />Fiberglass <br />Tank Manufacturer: <br />Product Stored: <br />Regular <br />9:15am <br />Premium <br />-- <br />Final Reading (RF): <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />30 minutes <br />30 minutes <br />Test Duration: <br />Test Start Time: <br />$:15am <br />$:15am. <br />Change in Reading (RF -RD: <br />Initial Reading (RI); <br />101IG <br />IOHG <br />PasslFail Threshold or Criteria: <br />Test End Time. <br />9.15am <br />9:15am <br />Final Reading (RF): <br />10 HG <br />10HG <br />Test Duration: <br />1 hour <br />1 hour <br />Change in Reading (RF -RD: <br />0 <br />0 <br />PasslFail Threshold or Criteria: <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />Test :Result.. <br />® Pass ElFail <br />Z Pass ❑ Fail <br />[ Pass ❑ Fail . <br />El Pass ❑:Fail <br />Was sensor removed for testing? <br />❑Yes El ©NA <br />❑Yes []No ❑NA <br />❑Yes ❑No DNA <br />❑Yes 0 -No ❑NA <br />Was sensor properly replaced and <br />verified fuamctionaI after testina? <br />-No <br />❑yes [—]No ❑NA <br />❑Yes ❑No ❑NA <br />[]Yes ONO [INA <br />❑Yes LINO [INA <br />Comments — (include information on repairs made Prior to testing, and reconzmended ollow-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)1 <br />