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ACDEH,August 2003 Page of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: 0 Tank Manufacturer x Industry Standard ❑Professional Engineer <br /> ❑Other(Sped) <br /> "fest Method Used: U Pressure xVacuum Hydrostatic <br /> 3 Other(Spec) <br /> Test Equipment Used:0-30" Hg Vacuum Gauge Equipment Resolution; '/," <br /> rank# %g-7 Tank#' Tank## _ [ Tank# <br /> Is Tank Exempt From Testing'?' 0 Yes IgNo D Yes 0410 G Yes 0640 C1 Yes C7 No <br /> Tank Capacity: <br /> Tank Material: <br /> Tank Manufacturer: <br /> Product Stored: C, i <br /> Wait time betwm applying LL. <br /> l pressureJvacuum/water and I � , <br /> starting test: <br /> Test Start.Time: <br /> Initial Reading(Rt): ( +► +t ,� �r t <br /> Test End Time: <br /> Final Reading(RF): <br /> 'fest f)uration: <br /> Change in Raading(RF-Rc): t) <br /> Puss/Fail Threshold or Criteria: 0 <br /> Test Reault.. Y M 9 Pass ❑Fsdl l~ ,,,Pass_ ❑Fail a Pass ❑Fail 0 Pass C Fait <br /> Was sensor removed for testing? ❑Yes if No ❑NA ❑Yes NWo ❑NA ❑Yes ItNo ❑NA ❑Yes ❑No ❑NA <br /> Was sensor pruperly replaced and <br /> verified functional after testine test' 11Yes ElNo IRNA 0 Yes ❑No NA G Yes ❑Na 9*A 0 Yes Q No D NA <br /> Comments—(include information on repairs made prior to testing, card r�cvrnmended follmv up far failed tests) <br /> TH <br /> nP <br /> 'Secondary containment systems where the continuous monitoring aetomatieally monitors both the prnuary and secondary <br /> containment,such as systems that are hydrostatically monitored or under constant vacuum,are exempt£turn periodic containment <br /> testing. {California Code of Regulations,Title 23,Section 2637(a)(6)} <br />