Laserfiche WebLink
i <br />Page of <br />4, TANK ANNULAR <br />Test Method Developed By: ® Tank Manufacturer <br />❑ Other (Specify) <br />Test Method Used: ❑ Pressure <br />❑ Other (Specify) <br />Test Equipment Used: vac gauge,stop watch <br />Tank # <br />Is Tank Exempt From Testing?' ❑ Yes ❑ No <br />TESTING <br />® Industry Standard <br />®Vacuum <br />Tank # <br />❑ Professional Engineer <br />❑ Hydrostatic <br />Equipment Resolution: -1.0 <br />Tank # Tank # <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />Tank Capacity. <br />Tank Material: <br />'rank Manufacturer: <br />Product Stored: <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />Initial Reading (R[): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF-Rj): <br />Pass/Fail Threshold or Criteria: <br />Test Result' ❑ Pass ❑ fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />]Yes❑ No ❑ NA <br />Was sensor removed for testijand <br />❑Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />E] Yes ❑ No ❑ NA <br />Was sensor properly replaced❑Yes ❑ No❑ NA❑Yes <br />❑ No❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />verified functional after testin <br />Co17 MentS -- (include infornration on repairs made prior <br />to testing, and recommended <br />follow-up for failed <br />tests) <br />k 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. <br />