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SWRCB,January 2002 Page_of_ <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ®Tank Manufacturer 0 Industry Standard D Professional Engineer <br /> 0 Other(Spec) <br /> Test Method Used: 0 Pressure D Vacuum 0 Hydrostatic <br /> 0 Other(Specify) <br /> Test Equipment Used: JIB VACUUM PUMPIVACUUM GAUGE IN HG Equipment Resolution: -1/2 X—30 HG <br /> Tank# REG 1 Tank# PREM 2 Tank# Tank# <br /> Is Tank Exempt From Testing?' 0 Yes ®No 0 Yes ® No 0 Yes 0 No 0 Yes 0 No <br /> Tank Capacity: 12000 Split 5000 Split <br /> Tank Material: Steel Fiberglass Steel Fiberglass <br /> Tank Manufacturer: Modern Modern <br /> Product Stored: Unleaded Premium <br /> Wait time between applying <br /> pressure/vacuum/water and 15 min. 15 min. <br /> starting test: <br /> Test Start Time: 7:55 <br /> Initial Reading(RI): -10 Hg <br /> Test End Time: 8:55 <br /> Final Reading(RF): -10 Hg <br /> Test Duration: 1 hr <br /> Change in Reading(RF Pq): 0 <br /> Pass/Fail Threshold or Criteria: Pass <br /> Test Result: ® Pass 0 Fail D Pass 0 Fail ❑ Pass 0 Fail. 0 Pass 0 Fail <br /> Was sensor removed for testing? ®Yes D No D NA C Yes 0 No DNA 0 Yes 0 No DNA ❑Yes D No 0 NA <br /> Was sensor properly replaced and 0 Yes 0 No 0 NA D Yes 0 No DNA D Yes 0 No DNA ❑Yes 0 No 0 NA <br /> verified functional after testing? <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> Split tank one annular space. Tested good. <br /> MAR 0 6 2017 <br /> ENVIROWAEMTGI HEALTH <br /> DEPARTMENT <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)) <br />