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SWRC$,'January2002 • • Page ?of <br />4. TANK ANNIii.AR TF.CTIN(_ <br />Test Method Developed By: 'yank Manufacturer ❑ Industry Standard 0 ProfessionL <br />❑ Other (Spec) <br />Test Method Used: ❑ Pressure 4,. Vacuum ❑ Hydrostati <br />❑ Other (Specify) <br />Test Equipment Used: os.�- l�/,ra•�, r�« ✓4ruu.• n�a� ;Pei 1 Equipment Resolution: <br />t <br />Tank # � `r "S Tank # .Z i ( Tank # Tank # <br />Is Tank Exempt From Testing?' <br />❑ Yes No <br />❑ Yes ;"o <br />❑ Yes ❑ No <br />p Yes" ❑ No;/ <br />Tank Capacity: <br />�btGS �:} If��l, <br />151c5� <br />Tank Material: <br />Tank Manufacturer: <br />!� <br />Product Stored: <br />a,r,fn ?Ya�ti,nr„ <br />grp;n p(F�P( <br />Wait time between applying <br />pressure/yacuu ater and <br />starting telt:-- <br />1, f <br />Test Start Time: <br />' • ; ,:, <br />5 <br />;, <br />Initial Reading (Rt) <br />Test End Time: <br />/e> <br />1 <br />Final Reading (RF): <br />r ; ; = <br />— l D I 1 <br />j <br />Test Duration: <br />Change in Reading (RF -R,): <br />C% <br />Pass/Fail Threshold or Criteria: <br />"NoO <br />Test Result: <br />13 Pass ❑ Fail <br />(]Pass ❑ Fail <br />❑,Pass ❑ Fa'1 <br />Was sensor removed for testing? <br />❑ Yes . ❑ No ❑ NA <br />❑ Yes No ❑ NA <br />❑ es ❑ No ❑ N.A <br />❑ <br />Was sensor properly replaced and <br />verified functional after testing? <br />❑yes ❑ No 0 NA <br />11 Yes ❑ No NA <br />Yes ❑ No ❑ NA <br />\ Yes ❑ No ❑ NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up or 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,'fitle 23, Section 2637(a)(6)} <br />