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4. TANK ANNULAR TESTING <br />Test Method Developed By: ❑ Tank Manufacturer ® Industry Standard ❑ Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: ❑ Pressure ® Vacuum ❑ Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: Test plugs, venturi pump and gauges Equipment Resolution: 0.5% of span <br />Tank # 87 Tank # 91 Tank # Diesel <br />Is Tank Exempt From Testing? ❑Yes ® No []Yes ® No ❑Yes ® No <br />Tank Capacity: <br />10k <br />10k <br />10k <br />Tank Material: <br />Fiberglass <br />Fiberglass <br />Fiberglass <br />Tank Manufacturer: <br />Owens Corning <br />Owens Corning <br />Owens Corning <br />Product Stored: <br />Gasoline <br />Gasoline <br />Diesel <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />10 min. <br />10 min. <br />10 min. <br />Test Start Time: <br />8:00 am <br />8:05 am <br />8:10 am <br />Initial Reading (RI): <br />7" hg <br />7" hg <br />7" hg <br />Test End Time: <br />9:00 am <br />9:05 am <br />9:10 am <br />Final Reading (RF): <br />7" hg <br />7" hg <br />7" hg <br />Test Duration: <br />1 hour <br />1 hour <br />1 hour <br />Change in Reading (RF -RI): <br />None <br />None <br />None <br />Pass/Fail Threshold or Criteria: <br />No detectable loss <br />No detectable loss <br />No detectable loss <br />Test Result: <br />© Pass ❑ Fail <br />[R] Pass ❑ Fail <br />® Pass ❑ Fail <br />Was sensor removed for testing? <br />❑ Yes ® No ❑ NA <br />❑ Yes ® No ❑ NA <br />❑ Yes ® No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />❑Yes ❑ No ® NA <br />❑Yes ❑ No ® NA <br />[]Yes ❑ No ® NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />"Sensor functionality was not confirmed. This procedure is not part of the Secondary Containment testing scope of work". <br />F EB n 3 2017 <br />Eiv vfIFIv"MENTAL HEALTH <br />nEpABTMENT <br />