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'SWRCB January,2002 • 0 Page_of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By:. ❑Tank Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> ❑Other(Spceify) <br /> Test Method Used: ❑Pressure ❑Vacuum ❑ Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> Tank# Tank# Tank# Tank# <br /> Is Tank Exempt From Testing?' ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑ No <br /> Tank Capacity: 12000 12000 6000 6000 <br /> Tank Material: <br /> Tank Manufacturer: DW Steel DW Steel DW Steel DW Steel <br /> Product Stored: Unleaded Unleaded Plus Premium Diesel <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(Ri): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RFRI): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result; ❑Pass ❑Fail E ❑Pass ❑Fail []I Pass ❑ Fail ❑Pass ❑Fail <br /> Was sensor removed for testing? ❑Yes ❑No ❑NA ❑Yes ❑No ❑ NA Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and <br /> ❑ <br /> verified functional after testing? [I ❑ ❑ [I ❑Yes No NA Yes No NA Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Comments—(include information on repairs made prior to testing,and recommended follow-up for failed tests) <br /> Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment,such a <br /> systems that are hydrostatically monitored or under constant vacuum,are exempt from periodic containment testing. {California Code of <br /> Regulations,Title 23, Section 2637(ax6)) <br />