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I , <br /> SWRCB. January 2002 <br /> Page 2 of 7 <br /> Quick N ' Save/Sohol Market <br /> 4. TANK ANNULAR TESTING <br /> 'fest Method Developed By: [ ] Tank Manufacturer [X ] Industry Standard [ ] Professional Engineer <br /> [ ] Other (Specify) <br /> Test Method Used: [ ] Pressure - [X ] Vacuum [ ] Hydrostatic <br /> [ ] Other (Specify) <br /> Test Equipment Used: Vacuum Ga e Equi ment Resolution: 0. 25 H <br /> Tank # 1 Tank # Tank# Tank # <br /> Is Tank Exempt From [ I Yes [ X] No [ ] Yes [ ] No [ ] Yes [ ] No [ ] Yes ( ] No <br /> Testing? I <br /> Tank Capacity: 3,000/105000 <br /> Tank Material: <br /> Tank Manufacturer: Elutron <br /> Product Stored: Regular/Super Unlead <br /> Wait time between applying <br /> pressure/vacuum/water and 5 Minutes <br /> starting test: <br /> Test Start Time: 8 : 15 A.M. <br /> Initial Reading (Rl): 10 H <br /> Test End Time: 9: 15 A.M. <br /> Final Reading <br /> Test Duration: One Hour <br /> Chane in Reading Rf Rl -0- <br /> Pass/Fail Threshold or -0- <br /> Criteria: <br /> Test Result: [X] PASS 1 I FAIL - [ ] PASS[ 1 FAIL [ ] PASS [ 1 FAIL. [ ]:PASS I I FAIL <br /> Was sensor removed for [X] YES [ ] NO [ ]YES [ ] NO [ ] YES [ ] NO [ ] YES [ ] NO <br /> testing? ( 1 N/A [ ] NIA [ ] N/A [ ] N/A <br /> Was sensor properly replaced [X] YES [ ] NO [ ] YES [ ] NO [ ] YES [ ] NO [ ] YES [ ] NO <br /> & verified functional after [ ] N/A [ ] NIA [ ] N/A [ ] N/A <br /> testing? <br /> Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> I Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such as systems <br /> that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing, (California Code of Regulations, Title 232 <br /> Section 2637(a)(6)) <br />