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SWRCB, January 2002 <br /> Page 2-of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: 7 ank Manufacturer 0 Industry Standard �:: Professional Engineer <br /> Other(,Spec•rf) <br /> Test Method Used: Pressure ANacuum Hydrostatic <br /> ❑Other(specify) <br /> Test Equipment Used 1 4 rur�«�� ,J l� ,�r/ <br /> �rG; �(trr r.,, t f til . EquipmeMReonqTank# Tank# Z Tank#Is Tank Exempt From Testing?t 0 Yes 'No 0 Yes o ` 0 YesTank Capacity: 22,01E ( SITank Material: c tEc �d (c 1cTank Manufacturer: '� dProduct Stored: 1�i r5 e iL2 n u t 4 yWait time etween applying <br /> pressure acuum/water and <br /> startin tes . ,�v 0e,,,0 <br /> Test Start Time: <br /> Initial Reading(Rj): --10 1-4 ql` d <br /> Test End Time: tf�, 9; 3'D � t <br /> Final Reading(RF): — 14 14 —(0" <br /> Test Duration: rt If r <br /> Change in Reading(RF-Rj): } <br /> Pass/Fail Threshold or Criteria: �Ja LuSf rYr 1-41. ND Lass 7,-t N q t ` <br /> Test Result: >rPass ❑ Fail , 'Pass ❑ Fail ❑ Tass ❑',Fail A al Pass ❑Fail <br /> Was sensor removed for testing? pYes ❑No ❑NAYes ❑No ❑NA ❑ 'es ❑No b NA ❑,Yes ❑No Q NA <br /> Was sensor properly replaced and �,es 0 No ❑NA es ❑No ❑NA C]Yes ❑No F <br /> verified functional after testing? / �NA [7 Yes ❑No CNA <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 />