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SWRC13, January 2002 <br />4., TANK A NN7 TT AD Tri CTTN!_ <br />Page <br />Test Method Developed By: Tank Manufacturer • Industry Standard = Professional Engineer <br />L Other (Speer) <br />Test Method Used: C Pressure i, -./,Vacuum : Hydrostatic <br />:1 Other (Specify) <br />Test Equipment Used: G-!� <•1- ��,„ -, '! V " r (,uva. + <br />Equipment Resolution:•-�;�,, — - <br />Tank # ,1 i ' Tank # ,% <br />Tank # <br />Tank # <br />Is Tank Exempt From Testing?' <br />7 Yes Of No <br />Yes - No; <br />Yes No <br />Yes � No <br />Tank Capacity: <br />lie •1,4 <br />Tank Material: <br />, <br />Tank Manufacturer: <br />i vtA <br />Product Stored: <br />Wait time betw=n applying <br />pressure/ acuu ater and <br />starting test: <br />Test Start Time: <br />r� ' ; r, <br />Initial Reading (R,): <br />Test End Time: <br />4) <br />i l� <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF -R,): <br />Pass/Fail Threshold or Criteria: <br />1•, �� �_ „ <br />Test Result: <br />❑.Pass ❑ Fail <br />0" Pass ❑ Fail' <br />❑ Pass ❑Fail <br />❑Pass ❑Fail <br />Was sensor removed for testing? <br />es ❑ No ❑ NA <br />!3•'Yes ❑ No ❑ NA <br />❑ Yes O No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />iYes ❑ No CNA <br />-Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes t No i7 NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up or 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 />(esting. (California Code of Re"LlIations, Title 23, Section 2637(x)(6)) <br />