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SWRCB, January 2002 Page _ of <br />4. TANK ANNULAR TESTING <br />Method Developed By: ❑ Tank Manufacturer g tnnustry �tanaaru a riumbbiunai Lllr'xL Vl <br />❑ Other (Spec) <br />[Test <br />st Method Used: ❑PressureVacuum ❑ Hydrostatic <br />❑ Other (Spec) <br />st Equipment Used: Vacuum Pump & Gauge Equipment Resolution: .005 <br />Is "Tank Exempt From Testing?' <br />Tank # 91 <br />Tank #Red DSL <br />Tank # Tank # <br />❑ Yes ® No <br />❑ Yes ® No <br />❑ Yes ❑ No ❑ Yes ❑ No <br />10,000 <br />2,000 <br />Tank Capacity: <br />Tank Material: <br />Fiberglass/Steel <br />Fiberglass/Steel <br />Tank Manufacturer: <br />Unknown <br />Unknown <br />Product Stored: <br />Premium <br />Red Diesel <br />10 min. <br />10 min. <br />P R 9 2 015 <br />Wait time between applying <br />pressure/vacuum/water and <br />startin test: <br />Test Start Time: <br />10:10 <br />11:20 <br />PFA' U ^C:0oQT+nr <br />Initial Reading (RO: <br />-5"hg <br />-5" hg <br />Test End Time: <br />11:10 <br />12:20 <br />Final Reading (RF): <br />-5" hg <br />-5'° bg <br />Test Duration: <br />1 Hour <br />1 Hour <br />0 psi <br />Opsi <br />0 psi <br />0 psi <br />Change in Reading (RF-RO: <br />pass/Fail Threshold or Criteria: <br />Test Result: <br />® Pass ❑ Fail <br />g Pass ❑ Fail <br />❑ Pass ❑ Fail ❑ Pass ❑ Fail <br />Was sensor removed for testing? <br />® Yes ❑ No ❑ NA <br />® Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA ❑ Yes ❑ No [INA <br />Was sensor properly replaced and <br />verified functional after testing? <br />I ® Yes ❑ No ❑ NA <br />Oyes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA ❑ Yes ❑ No [INA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for 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 />testing. {California Code of Regulations, Title 23, Section 2637(a)(6)} <br />