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SWRCB, January 2002 <br />Test !ti..1.1'i i 1s .) IId Yi 1 and:1. i 1Engineer <br />Other Y. <br />Test Method Used: 0 pressure Vacuum 0 Hydrostatic: <br />0 Other (Specify) <br />gwv�t ii t 1b.i , <br />Is Tanis Exempt From T <br />Tank t# w..� <br />0 Yes )i No <br />Tank # "' <br />Q Yes XNo <br />Tank # <br />Ct Yes 0 No <br />Tank # <br />❑ Yes 0 No <br />Tank C <br />q. <br />,, <br />` , <br />Tank Material: <br />x r <br />j <br />Product Stared - <br />Wait time betneen apph ing <br />Wait <br />p eA water and <br />starting test: <br />Tea Start Time: �* - <br />laitial Reading a): <br />Test Ezd rare: <br />o <br />9 <br />w <br />i <br />Final Reading <br />TestDuration:� <br />a <br />Read*qtv-Pq)• <br />Pass/Fad Threshold or C <br />t,. �. <br />Test t: <br />lass C] Fan <br />P C] Fa' <br />X Pass ❑ Fad <br />© Pass O Fail <br />Was sensor removed for g? <br />XYes []No DNA <br />es O No DNA <br />O Yes O No DNA <br />O Yes 0-146 DNA <br />Was sensor propet, replaced and <br />verified functional after testing? <br />t, YeS NO NA <br />/ N <br />I YeS No NA <br />❑ Yes J NO -i NA <br />T Yes �: No DNA <br />Comments — (znch de information on repairs made prior to iesky%, and recommended follow-up. jar 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 />tr aaincs f ralifnmio C'M, nfRs+mvI%tinne Titiw 71 q,-,ginn <br />