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i��1IC <br /> - Page 2 of;t <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑Tank Manufacturer 0 Industry Standard ❑Professional Engineer <br /> J Other(Specify) <br /> Test Method Used: ❑Pressure E)Vacuum ❑ Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> I Reg Tank# 1 Prem Tank # 2 DleSel Tank # 3 Tank # <br /> Is Tank Exempt From Testing?' LJ Yes ® No ❑ Yes ® No ❑Yes fl No LJ Yes L) No l <br /> Tank Capacity: <br /> Tank Material: Steel Steel Steel <br /> Tank Manufacturer. UK UK UK <br /> Product Stored: Gas Gas Diesel <br /> Wait time between applying <br /> pressurelvacuumlwater and starting 0 0 0 <br /> test: <br /> Test Start Time: 10:15 10:15 10:15 <br /> Initial Reading(Ri): -10" -10" -10" <br /> Test End Time: 11:15 11:15 11:15 <br /> Final Reading(RF): -10" -10" -10" <br /> Test Duration: 1 hr 1 hr 1 hr <br /> Change in Reading(RF-R[): 1 0 0 0 <br /> Pass/Fail Threshold or Criteria: 0 0 0 <br /> Test Result: r2l <br /> Pass ❑ Fail � Pass ❑ Fail I] Pass ❑ Fail ❑ Pass ❑ Fail <br /> Was sensor removed for testing? es ❑ No ❑ NA (�Yes ❑ No ❑ NA ❑x Yes ❑ No ❑ NA ❑Yes ❑ No G7 NA <br /> Was sensor properly replaced after es ❑ No ❑ NA ®Yes ❑ No ❑ NA C91 Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA <br /> testis <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, <br /> such as systems that are hydrostatically monitored or under constant vacuum,are exempt from periodic containment testing. <br /> {California Code of Regulations,Title 23,Section 2637(a)(6)) <br />