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SWRCB, January 2002 <br /> Page Z of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ';ytank Manufacturer L� Industry Standard 17 Professional Engineer <br /> /El Other(Specify) <br /> 'Test Method Used: I Pressure acuum 17 Hydrostatic <br /> [ Other(.Sped) <br /> Test Equipment Used: �a}-\/n r,,,�4 ,4 ,v„ cllelw Ga'„- e,,N ;4Equipment Resolution: <br /> Tank# Tank# -Z_ Tank# ank# <br /> Is Tank Exempt From Testing?' ❑ Yes no ❑ Yes No G Yes ”' 01 Yes Ll No <br /> Tank Capacity: '� 1�(c LD 2 .-- <br /> Tank Material: ��� ',e, � re I� ,.< �c.S rr �GSS <br /> Tank Manufacturer: t i2 e 9'x�S <br /> Product Stored: & u t Q r -� �� ,, I u S <br /> 87 <br /> Wait time bween applying <br /> pressure/4 cuu water and <br /> starting test. - I GL O LkV- V U U k' <br /> Test Start Time: : 30 0 () <br /> Initial Reading(Rj): — to µI — 1 p 14- --t U (-- <br /> Test End Time: ( 3 ( ; 36 ( � ; 36 <br /> Final Reading(RF): <br /> Test Duration: Z ct ,,, 'Z �. ,�Y Zl�•a <br /> Change in Reading(RF-R4): f}. <br /> Pass/Fail Threshold or Criteria: o.14 pk <br /> Test Result: Pass ❑Fail �-Pass ❑ Fail ass ❑ Fail El Pass ❑ F it <br /> Was sensor removed for testing? [] Yes o ❑NA ❑Yes -E No ❑NA ❑Yes tf fo ❑NA ❑ es ❑No ❑ A <br /> Was sensor properly replaced and <br /> verified functional after testin ? ❑Yes []No 2 NA ❑Yes ❑No NA ❑Yes ❑No ^A G�Yes ❑No ❑N <br /> Comments— (include information on repairs made prior to testing and recommended ollow u <br /> j p for failed 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 />