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SWRCB,January 2002 Page of W <br /> 4, TANK ANNUL"TESTING <br /> Test Method Developed By: x Tank Manufacturer fl Industry Standard ❑Professional Engineer <br /> d Other(Specify) <br /> Test Method Used: 0 Pressure x Vacuum Cl Hydrostatic <br /> 0 Other(Specify) <br /> 'fest Equipmern Used:Dwyer Manometer Equipment Resolution:+1-2% <br /> Tank# 1 Tank# Tank# 'Tank# <br /> Is Tank Exempt From Testing?' 0 Yes x No ❑Yes 0 NO ❑Yes 0 No 0 Yes 11 No <br /> Tank Capacity: 30,000 <br /> Tank Material: Steel <br /> Tank Manufacturer- Modern Welding <br /> Product Stored <br /> Wait time between applying <br /> pressure/vacuum/water and 30 min 30 min 3O.min 30 min <br /> Starting test. <br /> Test Stan Time: <br /> Initial Reading(Rr): <br /> Test End Tixae: <br /> Final Reading(Rr)_ <br /> Test Duration: 1 hour 1 hour 1 hour 1 hour <br /> Change in.Readiag(Rr-Rr):. <br /> Pass/fail Threshold or Criteria: No less than I" No less than 1" No less than 1" No less than I" <br /> Test Result: ❑ Pass x Fail CJ Pass i]Fail ❑ Pass. 0 Fail 0 pass o Fall <br /> Was sensor removed ibr testing? x Yes O No ❑NA x Yes ❑Nc ❑NA x Yes ❑No DNA x Yes 0 No 0 NA <br /> Was sensor properly replaced and x Yes 0 No ❑NA x Yes ❑No 0 NA x Yes ❑No ❑NA x Yes 0 No ❑NA <br /> verified functional atter testis <br /> Comments (include information on repairs made prior ro resting and recommended follow-up for failed tests) <br /> Tank-will not build vacuum or pressure <br /> 1 Secondary containment systems where the eanlinuom monitoring auWinatically monitors both the primary and secoudAry <br /> containmcnt,such as systcros that are bydrostatically monitored or under constant vacuum, are exempt flom periodic containment <br /> *^afro- !!'alifnmia("AO 'r;+1.')^, Cont:nr+'lll7falfl�l2 <br /> Z'd 9l,�O-VtQ-60Z 1S31 VObOJdV dZb:Z b O L Z 6 qac <br /> 000 'd 80I09SHOZ I A Xdd SSHZ SOH QOOH WV H :90 QOM/010UH/m <br />