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Apr 18 03 06: 49p Fr zen Hill 559f 1467 p. 10 <br /> SWRCB,January 2002 Page 2 of 7 <br /> Express Manteca <br /> 4. TANK ANNUL..AR TESTING <br /> Test Method Developed By: Tank Manufacturer Industry Standard Professional Engineer <br /> Other(Specify) ----- <br /> Test Method Used: Pressure Vacuum Hydrostat--c <br /> Other(Specify) — —�-- - <br /> Test Equipment Used: Equipmem Resolution: <br /> Tank# Tank# Tank f Tank# <br /> Is Tank Exempt From Testing?' Yes No Yes No Yc:s No Yes —N'o <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(R,): —_ <br /> Test End Time: _ - <br /> Final Reading(RF): __— <br /> Test Duration: -- <br /> Change in Reading`Rr-R,): __L�----- <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: Pass Fail Pass Fail Pass_Fail-- Pass Fail- <br /> N2Was sensor removed for testing? Yes No NA Yes No NA Yes No Nr_. Yes -No _- % <br /> Was sensor properly replaced and yes No NA Yes No NA Yes No NAYes No NA <br /> verified functional after testin - .� <br /> Comments-(include informa'ion on repairs made prior to testing, and recommended fol,'ox-up f rfcdled tests) <br /> Secondary containment systems where the continuous monitoring automatically monitors both':he primaryand secondary <br /> containment,such as systems that are hydrostatically monitored or under constant vacuurn,an;exempt from periodic contzdnmer..t <br /> testing. {Califomia Code of Regulations,Title 23,Section 2637(a)(6)) <br />