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SWRCB January,2002 0 Page of <br /> 0 <br /> 4. TANK ANNULAR TESTING <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: t E uipmen Resolution: <br /> on <br /> <=i <br /> Tank# Ta n�k# Tank# Tank# <br /> _, <br /> Is 'l aril: Exempt l rom I-estin(?l ElYes ❑No ❑Yes ❑ No []Yes ❑ No 0 Yes ❑ No <br /> Tank Capacity: <br /> Tank Material: <br /> Tank Manufacturer: <br /> Product Stored: <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: El Pass El Fail ❑Pass ElFai1 El Pass [ Fail [� Pass ❑1=ai1 <br /> Was sensor removed for testing? ❑Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA Ye' ❑ No ❑ NA ❑Yes ❑ No ❑ NA <br /> Was sensor properly replaced and ❑Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA <br /> verified functional after testing? <br /> Comments—(include information on repairs made prior to testing,and recommended follow-up for failed tests) <br /> Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment,such a <br /> systems that are hydrostatically monitored or under constant vacuum,are exempt from periodic containment testing. {California Code of <br /> Regulations,Title 23,Section 2637(a)(6)} <br />