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SWRCB, January 2002 <br />4. TANK ANNULAR TESTING, <br />Page of Cy <br />Test Method Developed By: - k Manufacturer Industry Standard :::: Professional Engineer <br />Other (Spec) <br />Test Test Method Used: := Pressure cuum IL Hydrostatic <br />Other (Spec) <br />Test Equipment Used: G us+ 1/HCuvtr+ t w i/r�evpl0A met. of iv" Af. <br />Equipment Resolution: —17'z -3d <br />Tank # .� Tank # Z <br />Tank # <br />Tank # <br />Is Tank Exempt From Testing?' <br />Yes >Q(o <br />Yes >2 No <br />- Yes X" Lo <br />"7 Yes • , No <br />Tank Capacity: <br />12 0OGJ Gey JJvr, <br />I o cera G /fur <br />l® ew!) 6.4-114k) <br />UG,.Il ed i -I <br />Tank Material: <br />F' � �,W �.�'S S <br />t i` �lFv l�•Si <br />Fi�2ly ��SS <br />�-e,�.t.� �rss <br />Tank Manufacturer: <br />x e p' t✓ <br />6- S <br />e ms's <br />Product Stored: <br />j)few+ to W 4l 1 <br />e,-, 41 ma7 /-n <br />ReIA, A, /.ra• 04 7S <br />D f e S e L <br />Wait time be een applying <br />pressur va e'u water and <br />startin tes <br />AOL, v <br />Test Start Time: <br />/� ' p rj <br />• Ue) <br />Initial Reading (RI): <br />Test End Time: <br />A ' Ue--) <br />��� <br />`�U/J <br />�` le <br />Final Reading (RF): <br />— /.0 H <br />_• I D f1`9 <br />--/(� f' <br />— /O H ' <br />Test Duration:Ll <br />2 k au s <br />�r ��, S <br />' �r <br />�... d t ' 4"'ov,5 <br />Change in Reading (RF-Rj): <br />ct) // <br />tf <br />ff <br />Pass/Fail Threshold or Criteria: <br />nJ tJ Lo61 <br />sf ; N /-/, <br />eve) 1-111-51W H • <br />.Aa9 L 55 i* - N? <br />N J l s S i . 14 <br />Test Result: <br />-K" Pass _; Fail <br />•Pass F_ Fail <br />51 ass ` Fail <br />?SIass G Fail <br />Was sensor removed for testin g • <br />Yes o u NA <br />, Yes : C NA <br />Yes o 11 CNA <br />n YesNA <br />Was sensor properly replaced and <br />verified functional after testing? <br />- Yes F. No A <br />-'Yes !7No ,AA <br />lYes '"No AA <br />_:Yes ENo .?"NA <br />Comments — (include information on repairs made prior to testing, and recommended ollow-up forfailed 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 />