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SWRCB,January 2002 -Wo, Page of <br /> 4. TANK ANNU AR TESTING <br /> Test Method Developed By: (Tank Manufacturer Industry Standard Professional Engineer <br /> Other(Specify) <br /> Test Method Used: Pressure Vacuum Hydrostatic <br /> Other_(Spec) <br /> Test Equipment Used: Equipment Resolution: <br /> Tank# Tank# Tank# Tank# <br /> Is Tank Exempt From Testing?' Yes ,1Ala1_ Yes No Yes No Yes No <br /> Tank Capacity: 20 lm c) <br /> Tank Material: [D/u-; C+UC 1 <br /> Tank Manufacturer: Mia.LL)V ; <br /> Product Stored: PiYli�r+? <br /> Wait time between applying <br /> pressure/vacuum/water and yv k k W 0-11a <br /> starting test: <br /> Test Start Time: 8,_00 <br /> Initial Reading(Rj): 7 H G <br /> Test End Time: "Oo <br /> Final Reading(RF): "Z H <br /> Test Duration: Hour <br /> Change in Reading(RF-Rj): <br /> Pass/Faii Threshold or Criteria: ? (j <br /> Test Result; ass Fail Pass Fail Pass Fail Pass Fail <br /> Was sensor removed for testing? )'s-- No NA Yes No NA Yes No NA Yes No NA <br /> Was sensor properly replaced and 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 testi, and recommended follow-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(x)(6)} <br />