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03/23/2009 05:03 6616349233 KERN CONSTRUCTION PAGE 05/07 <br /> • 19 <br /> SWRCB,January 2002 2-- <br /> Pageof <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: Hank Manufacturer D Industry <br /> Standard <br /> ElOther($pecifj) <br /> ❑Professional Engineer <br /> Test Method Used: O Pressure /11-Vacuum <br /> ❑Other(Specify) U NY�'ottatic <br /> Test E ui <br /> q pment Used: G Equipment Resolution: <br /> Tank# 1 Tank# Tank# <br /> Is Tank Exempt From Testing? ❑Yes �rNo ❑Ycs ❑No D Yes Tank# <br /> Tank Capacity: U No ❑Yes ONO <br /> Tank Material: <br /> Tank Manufacturer: <br /> Product Stored: <br /> Wait time between applying <br /> Pressure/vacuum/water and r <br /> starting test: <br /> Test Start Time: ,43— <br /> Initial Reading(Rt): 1211 n <br /> Test End Time: /; 55 <br /> Final Reading(Rr): If <br /> Test Duration: h j <br /> Change in Reading(R,R,): <br /> Pasa/Fail Threshold or Criteria: <br /> '.Gest R.esultt 1"A" . D Fail D Pass ❑Fail L 11 Pass ❑Faif <br /> Was sensor removed for testing? D Passed, . <br /> g. Ryes I,JNA flXes ONO [INA DYos DNo L1 NA Dyes ONO DNA <br /> Was sensor properly replaced and <br /> verified functional aftez testin ? Ycs D No ❑NA ❑Yes D No Cl NA 11Y-- D No ❑NA 0 Yew ONO DNA <br /> Com mertts—(include information on repaicr made prior to resting and recommended follow.upforfailed tests <br /> Secondary contafument 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 />