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SWRCB, January 2002 <br />4. TANK ANNULAR TESTING <br />Page 2—of � <br />Test Method Developed By: tank Manufacturer ❑ Industry Standard ❑ Professional Engineer <br />.Other (Specify) <br />Test Method Used: ❑ Pressure Al*'Vacuum ❑ Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: T4s 1 V r e-tx - 1%rcu �.� s � Equipment Resolution: <br />Tank # - E z Tank # 3 £ ank # Tank # <br />Is Tank Exempt From Testing?' ❑ Yes 6-ZIo ❑ Yes No ❑ Yes ❑ o ❑ Yes ❑ No%' <br />Tank Capacity: <br />�-X V-5 o (1 } 12-1 <br />7-b le -5p I i -i-- 10 110 <br />Tank Material: <br />GL�s 5 �L <br />GC,�ss�S'�-�.0 <br />Tank Manufacturer: <br />j y� 3 Lc) <br />tt-S C. v <br />Product Stored:e <br />Wait time be n applying <br />pressure acuu ater and <br />starting test: <br />l k o rc.` <br />` <br />Test Start Time: <br />!z7 0 <br />0/v ; ) <br />Initial Reading (Rj): <br />-- l o //, <br />/p /;.Z. ` <br />Test End Time: <br />/ v v <br />�p 6)0 <br />Final Reading (RF): <br />-- / d f% - , <br />- . 1 l✓ Ny- <br />Test Duration: <br />�.. �.� <br />�, e, <br />Change in Reading (RF-Rj): <br />'7 . <br />/-/ �l <br />Pass/Fail Threshold or Criteria: <br />N U Cos S , H <br />L-a.s sjw •1�.. <br />Test Result: <br />,amass ❑ Fail <br />Pass ❑ Fail ❑Pass Failail <br />Was sensor removed for testin <br />es ❑ No ❑ NAg• <br />es ❑No ❑NA ❑ es ❑ No ❑ NA NA <br />All <br />Was sensor properly replaced and <br />verified functional after testing? <br />es ❑ No ❑ NAes❑No <br />❑NA Yes ❑ No NA A <br />Comments — (include information on repairs made prior to testing and recommended ollow-up orfailed 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 />