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SWRCB, January 2002 <br />4. TANK ANNULAR TF,.IgTtNr. <br />Page of <br />Test Method Developed By: 0 Tank Manufacturer ?Industry Standard 0 Professional Engineer <br />0 Other (Specify) <br />Test Method Used: 0 Pressure 2<acuum. 0 Hydrostatic <br />0 Other (Specify) <br />Test Equipment Used: <br />Equipment Resolution: <br />Tank <br />Tank # <br />Tank # <br />Tank # <br />Is Tank Exempt From Testing?' <br />E. Yes 0 <br />0 Yes 21�o <br />E) Yes 0 No <br />-7 Yes No <br />Tank Capacity; <br />L) <br />CAL <br />Tank Material: <br />Tank Manufacturer: <br />Product Stored: <br />f2k6j\ i Li <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />6 V-) I <br />D 111 <br />Test Start Time: <br />Initial Reading C,:' 11): <br />Test End Time: <br />0 <br />/030 <br />Final Reading (RF): <br />Test Duration: <br />#tL <br />Change in Reading (RF -R,): <br />Pass/Fail Threshold or Criteria: <br />Test Result <br />t34ass 0 Fail <br />2"iast 0 Fail <br />0 Pass 0 Fail <br />0 Pass 0 Fail <br />Was sensor removed for testing?Ves[] <br />No 11 NA <br />es 11 No El NA <br />0 Yes 11 No 13 NA <br />0 Yes 0 No El NA <br />Was sensor properly replaced and <br />verified functional after testin ? <br />d'i'es 0 No r] NA <br />es 11 No 0 NA <br />0 Yes 0 No 0 NA <br />0 Yes 0 No 0 NA <br />Comments - (include infonnation on repairs made prior to testing, and recommended follow-upforfailed tests) <br />e-,pULI) >)dT--L-oa*TT- kj�UO-S P-C--1qJCfW- O(L_ r -)Ib L-j"k&, <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 />