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SWRCB, January 2002 <br />4. TANK ANNULAR TESTING <br />Page of <br />Test Method Developed By: ❑ Tank Manufacturer ❑ Industry Standard FE Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: ❑ Pressure ❑ Vacuum E Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: <br />Equipment Resolution: <br />Tank # Tank # <br />Tank # <br />Tank # <br />Is Tank Exempt From Test' ng?1 ❑ Yes ❑ No <br />❑ Yes 0 No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />Tank Capacity: <br />Tank Material: <br />Tank Manufacturer: <br />Product Stored: <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />Initial Reading N): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF-Ri): <br />Pass/Fail Threshold or Criteria: <br />T.—OA Result; El Pass Q Pall <br />D:i' Pala. 17 it$il <br />€ : Pass: ❑'Pani.: <br />Q Pass' C: -Fail.. <br />Was sensor removed for testing? ❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced and ❑ yes ❑ No ❑ NA <br />verified functional after testing? <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No [INA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />1 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 <br />