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SWRCB. January 2002 <br /> Page,_of <br /> 4. TANK ANNULAR TESTffiG <br /> Test Method Developed By: ❑Tank Manufacturer industry Standard ❑'Professional Engineer <br /> 0 Other(Specify) <br /> Test Method Used: ❑Pressure acuum ❑Hydrostatic <br /> 0 Other(Specify) <br /> Test Equipment ,.t7 Equipment Resolution: <br /> ,Tank# Tank# a1 Turk# Tank# <br /> Is Tank Exempt From Testing?' ❑yes ZKO 11 Yes o ❑Yes ❑No ❑Yes 0 No <br /> Tank Capacity: tOr <br /> Tank Material: <br /> Tank Mamfacnner. A <br /> Product Stored: <br /> Wait time bem-een applying <br /> pressurehacmuninater and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(Rt): — <br /> Test End Time: <br /> Final Reading(RP): <br /> Test Duration: <br /> Change in Reading(RP-R,): <br /> Pass/Fail Threshold or Criteria: CIO L�s <br /> Test Result: ❑Fag Q'Pass ❑Fail ❑ Pass ❑Fan ❑ Pass ❑Fad <br /> Was sensor removed for testing? t'Yes ❑No ❑NA Alts ❑No ❑NA ❑Yes ❑No ❑NA f ❑Yes G No DN' <br /> Was sensor properly replaced and L1 Yes ❑No ❑WAJ ❑Yes ❑No ❑NA ❑Yes ❑No DNA ❑Yes ❑No ❑NA <br /> verified fimctional after tes :' <br /> COM men ts—(hichde information on repairs made prior to testing, and recommendedfollow-up forfailed rests) <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 /> teerino lr.iifnmia(`,vin of Aemdarinnc Titic 77'Cwvirm 9li�'7(ilifrlt <br />