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SWRCB,January 2002 • • Paget'of > <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑Tank Manufacturer Industry Standard 0 Professional Engineer <br /> 0 Other(Spee) <br /> Test Method Used: 0 Pressure Vacuum 0 Hydrostatic <br /> 0 Other(Specify) <br /> Test Equipment Used: q Ma I ecu ,noel Equipment Resolution: <br /> Tank# j Tank# 2 Tank# Tank# <br /> Is Tank Exempt From Testing?' 0 Yes XIo 0 Yes I Coo 0 Yes $No 0 Yes D No <br /> Tank Capacity: G(SD /6/06-n I:> <br /> Tank Material: C6ry 651 o 1 C lWe- <br /> Tank Manufacturer: S e o �3 CA r�S co <br /> Product Stored: P y-�t <br /> Wait time between applying <br /> pressure/vacuum/water and sh! <br /> startingtest: <br /> Test Start Time: O 6 lti5 a <br /> Initial Reading(Rj) F IV jo <br /> Test End Time: j(j$�', Q WO <br /> Final Reading(RF): D in ft t7 <br /> Test Duration: P— 1 v <br /> Change in Reading(Rt-R,): <br /> Pass,Fail Threshold or Criteria: ] <br /> Test Result l Pass []Fail 1(_Pass 0 Fail "ass 0 Fail ❑ Pass ❑Fail <br /> Was sensor removed for testing? [Yes 0 No LINA )KYes 0 No 0 NA *Yes ❑No ❑NA 0 Yes 0 No ❑NA <br /> Was sensor properly replaced and [)(Yes 0 No ❑NA Wes11No 11 NA 4Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> verified functional after testin ? <br /> Comments —(include information on repairs made prior to testing, and recommended follow-up forfailed tests) <br /> t 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 />