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01-20-'05 15: 37 FROM- T-614 P010/014 F-545 <br /> SWRCB, MAY 2002 • • page ,Z of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed by: ❑ Tank Manufacturer Ig Industry Standard Professional Engineer <br /> C] Other(specify) <br /> 'Ebst Method Developed by: ❑ Pressure O Vacuum [] Hydrostatic <br /> Other(Specify) <br /> Test Equipment Used: wCua..t a Equipment Resolution: <br /> Tank# / Tank# Aim TAaak# 3 Tank# <br /> Is Tank Exempt From Testing?' 0 Yes arNo Q Yes a No 0 Yes Cl No r) Yes ONO <br /> Ihnk Capacity: .1ae2e'0 on OrJO <br /> Tank Material: .a <br /> Tank Manufacturer: r _ti 1 i✓,t/< o H.. <br /> Product Stored: lee rn G <br /> Wait time between applying press re/ <br /> vacuum/water&starting test: / <br /> Test Start Time: d <br /> Initial Reading(R.): <br /> Test End Ume: asp b :OU <br /> Final Reading(RB): dew y /Oid <br /> Test Duration: <br /> Change in Reading(Its-R,): <br /> Pass/Fail Threshold or Criteria: C� D G•G7 d, b <br /> TEST RESULT ASS [a FAIL PASS CJ FAIL 9f PASS C1 FAIL 0 PASS 0 FAIL <br /> Was sensor removed for testing? gYV6sONoONA Yes 0 No❑NA CrYes❑No[)NA C]Yes(I No[}NA <br /> Was Sensor properly replaced& <br /> verified functional after testing? VrYesrjNor1NA Yes❑No riNA pryes❑No Q NA C7 Yes 0 No Q NA <br /> Was Sensor properly replaced& <br /> verified functional after testing? Yes i]No Q NA PYes O No❑NA 17Yes[I No Q NA I []Yes 0 No❑NA <br /> COMM entS--(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 contain- <br /> ment, such as systems that aro hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. <br /> (California Code of Regulations,Title 23,Section 2637(A)(6)) <br />