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-9ECEIVE® <br /> SWRCB,January 2002 AUG 14 2013 age of <br /> ENVIRONMENTAL <br /> 4. TANK ANNULAR TESTING Ft'U.LTH DEPARTMENT <br /> Test Method Developed By: X Tank Manufacturer ❑Industry Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure X Vacuum ❑Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: Gast Vacuum Pump/Vacuum Gauge in Hg. Equipment Resolution: - '/z"x-30"Hg. <br /> Tank# I Tank#2 Tank#3 Tank# <br /> Is Tank Exempt From Testing?' ❑Yes x No ❑Yes x No ❑Yes x No ❑Yes ❑No <br /> Tank Capacity: IOK IOK IOK <br /> Tank Material: Glass/Steel Glass/Steel Glass/Steel <br /> Tank Manufacturer: Trusco Trusco Trusco <br /> Product Stored: Regular 87 Plus 89 Super 91 <br /> Wait time between applying 30 Minutes 30 Minutes 30 Minutes <br /> vacuum and starting test: <br /> Test Start Time: 8:45 8:55 9:05 <br /> Initial Reading(R,): -10 Hg. -10 Hg. -10 Hg. <br /> Test End Time: 9:45 9:55 10:05 <br /> Final Reading(RF): -10 Hg. -10 Hg. -10 Hg. <br /> Test Duration: 1 Hour 1 Hour 1 Hour <br /> Change in Reading(RF-R,): 0 Hg. 0 Hg. 0 Hg. <br /> Pass/Fail Threshold or Criteria: No Loss in Hg. No Loss in Hg. No Loss in Hg. <br /> Test Result: Pass Pass Pass ❑ Pass ❑Fail <br /> Was sensor removed for testing? X Yes ❑No [INA X Yes I I No ❑NA X Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and X Yes ❑No ❑NA X Yes ❑No ❑NA X Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> verified functional after testing? <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 <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)) <br />