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0 0 le c, � ov/ <br />Page 2 of 8 ecac"LKcGuou—cr <br />4. TANK ANNULAR TESTING <br />Test Method Developed By: ❑ Tank Manufacturer ❑ Industry Standard Lf Professional Engineer <br />Other (Specify) <br />Test Method Used: ❑ Pressure ® Vacuum ❑ Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: Vacuum Gauge Equipment Resolution: 0-30 Hg <br />Tank 9 87 Tank # 89 Tank # 91 Tank # Diesel <br />Is Tank Exempt from Testing'?' ❑ Yes ® No ❑ Yes ® No ❑ Yes ❑ No ❑ Yes Z No <br />Tank Capacity: <br />12000 Gal <br />5000 Gal <br />3000 Gal <br />4000 Gal <br />Tank Material: <br />D/W Steel <br />D/W Steel <br />D/W Steel <br />D/W Steel <br />Tank Manufacturer: <br />Unknown <br />Unknown <br />Unknown <br />Unknown <br />Product Stored: <br />Unleaded 87 <br />Unleaded 89 <br />Unleaded 91 <br />Diesel <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />10 min <br />10 min <br />10 m i n <br />10 m i n <br />Test Start Time: <br />2:30 PM <br />2:30 PM <br />2:30 PM <br />2:30 PM <br />Initial Reading (Rj): <br />7Hg <br />7Hg <br />7Hg <br />7Hg <br />Test End Time: <br />3:30 PM <br />3:30 PM <br />3:30 PM <br />3:30 PM <br />Final Reading (RF): <br />7 Hg <br />7 Hg <br />7 Hg <br />7 Hg <br />Test Duration: <br />60 min <br />60 min <br />60 min <br />60 min <br />Change in Reading (RF-Rl): <br />0 <br />0 <br />0 <br />0 <br />Pass/Fail Threshold or Criteria: <br />7 Hg <br />7Hg <br />7 Hg <br />7 Hg <br />Test Result: <br />Z Pass ❑ Fail <br />Z Pass ❑ Fail <br />Z Pass ❑ Fail <br />® Pass ❑ Fail <br />Was sensor removed for testing? <br />®Yes ❑No ❑NA <br />®Yes ❑No ❑NA <br />2Ycs ❑Na [:INA <br />®Yes ❑No [—INA <br />Was sensor properly replaced and <br />verified functional after testing? <br />MYes ❑No ❑NA <br />®Yes ❑No LINA <br />Eyes ❑No LINA <br />®Yes ❑No ❑NA <br />Comments — (include in ormalion on repairs made prior to testing, and recommended follow-up for railed lests) <br />Tank 89, Tank 91 and Tank Diesel are partitions of one tank. Only one Annualar Space. <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)1 <br />