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JAN -21 -2003 -TUE 01:18 PM <br />Dec 31 02 11:02a <br />SWRCD, January 2002 <br />Franzen Hill <br />A TANTIV AATNTTT Ab11PVVI•r-&Tn <br />P. 003 <br />5S�o9814S7 <br />1*,7 <br />Page Z of 7 <br />Test Method Developed By: <br />0 Tank Manufacturer -Y Industry Standard ❑ Professional Engineer <br />0 Other (Spec) <br />Test Method Used: <br />❑ Pressure <br />❑ Other (Spec) <br />Vacuum <br />0 Hydrostatic <br />Test Equipment Used: <br />Is Tank Exempt Frorn Testing?' <br />0 Yes Q� No <br />Tank # 2 <br />G Yes X No <br />Equipment Resolution: <br />Tank # Tank # <br />D Yes ❑ No ❑ Yes 0 No <br />Tank Capacity: <br />Tank Material: <br />maitre j - F"M�fGlb�' <br />Se1,F, cf�o%rr55 <br />Tank Manufacturer: <br />oe rr <br />T a <br />Product Stored: <br />'' f tnr'H m <br />Wait time between applying <br />pressure/vacuum/water and <br />startin test: <br />I (J - <br />Test Start Time: <br />U <br />Initial Reading (Rr): <br />iTest End Time: <br />10 <br />Final Reading (RF): <br />Test Duration: <br />30 M h <br />Change in Reading (RF -Rt): <br />Pass/Fail Threshold or Criteria: <br />Test -Result: <br />Pass ❑.Fail <br />❑ Pass 01Fall <br />0 Pass O Fail 0 Pass ❑ Fair <br />Was sensor removed for testing? <br />Yes ❑ No 13 NA <br />❑ Yes ❑ No DNA <br />0 Yes 0 No DNA ❑ Yes 0 No ❑ NA <br />Was sensor progeny replaced and <br />verified functions[ after testing') <br />,Yes C No O NA <br />i <br />C Yes 0 N 0 N <br />11 Yes 11No DNA 0 Yes 0 No Cl NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for foiled 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 />I <br />