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SWRCB. January 2002 <br />0 0 <br />4. TANK ANNULAR TE5T.R'oG <br />Page , of _ <br />Test Method Developed By: 0 Tank Manufacturer LKdustrY Standard 0 Professional Engineer <br />0 Other (Specify) <br />Test Method Used: 0 Pressure lacuum 0 Hydrostatic <br />0 Other (Specify) <br />Test Equipment Used: Equipment Resolution: <br />.. .;. ...: <br />Tank # 1 y/ sA ° v <br />air .:. �3 ,. -_.: • <br />Tank #Z $ <br />Tank # <br />Tank # <br />is rank Eseatpt From "Cesung'' <br />0 Yes X-0 <br />0 Yes No <br />0 Yes No <br />0 Yes 0 No <br />Tank Capacity: <br />j Sd bo <br />f ddG <br />Tank Material: _ <br />5/ccc <br />eoL <br />Tank MarutPacturer <br />i i A k <br />(tri k <br />Product Stored: <br />Q et Ad a'! <br />Sf 7 <br />Wait time between applying <br />pressure/vacuum/u ater and <br />starting test: <br />Test Start Time: <br />g "G1 <br />& q 3J <br />Initial Reading (Rj): <br />i 0' I l <br />1 d •" h( b <br />Test End Time: <br />0 iJ <br />J 30 <br />Final Reading (RF): <br />! �(� - <br />•' �- <br />Test Duration: <br />((2 <br />r <br />Change in Reading (Rr-R,): <br />�-- <br />Pass,iFail Threshold or Criteria: <br />- <br />Test Result: <br />Foass 0 Fail <br />ass 0 Fail <br />0 Pass 0 Fail <br />0 Pass 0 Fail <br />Was sensor removed for testing? <br />0 No 0 NA <br />es. 0 No 0 NA <br />0 Yes 0 No 0 NA <br />i] Yes 0 No 0 NA <br />Was sensor properly replaced and <br />verified hurctioual after testing' <br />yes 0 No 0 NA <br />es ❑ Na ❑ NA <br />0 Yes 0 No 0 NA <br />0 Yes 0 No 0 NA <br />Comments -(include information on repairs made prior to testing, and recommended follow-up for failed testsi <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 />tPcrinn WHfnmin rM. of RPmtlutinnc Title 11 QPMinn 96Z?l�liFll <br />