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Page 2 .of—,? <br /> _ 4. TANK ANNULAR TESTING _ <br /> Test Method Developed By: ❑Tank Manufacturer E Industry Standard Cl Professional Engineer <br /> ❑Other(Specify) <br /> Test Method Used: ❑Pressure ®Vacuum ❑Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: DIAL GAUGE Equipment Resolution:0 to 15"Hg Vacuum <br /> mom <br /> Tank# Tank# ,c _ Tank#��i Tank#s <br /> Is Tank Exempt From Testing?' ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No� <br /> Tank Capacity: GALLONS GALLONS GALLONS GALLONS <br /> Tank Material; z9s,S c` &Z'4SS' <br /> Tank Manufacturer: <br /> Product Stored: C79S' 19-7 4S <br /> Wait time between applying <br /> pressure/vacuum/water and 15 Minutes 15 Minutes 15 Minutes 15 Minutes <br /> starting test__ <br /> Test Start Time: _ _ �= �� :e�5 =. S <br /> Initial Reading(R): /U"HG 1z-- "HG HG _ "HG <br /> Test End Time: --- - Z 05 `1:35 <br /> Final Reading(Rp): /0"HG 1 "HG 1 c'HG "HG <br /> Test Duration: 1 Hour 1 Hour 1 Hour 1 Hour <br /> Change in Reading(Rp-R): "HG "HG LZ "HG "HG <br /> Pass/Fail Threshold or Criteria: Zero Zero Zero Zero <br /> ,.G-_J,si.�._. >f ,p .�E�. �,r.—t:�..R.w...;.i.'�,.nd'7arW5t �. c'�4�1[1 ,� r 4s�s��t i �i tJa` _ * ��li�alr7l 4Vk. aks�'❑�ry��`Y..qQ_7y1� <br /> y, <br /> , WROMi <br /> Was sensor removed for testing? ❑Yes Ulil(o ❑NA I d Yes B-go ❑NA 6Yes ❑No ❑NA ❑Yes ❑No T❑NA <br /> Was sensor properly replaced and D-es ❑No ❑NA B-Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> verified functional after testing? m <br /> Comments—(include information on repairs made prior to testing,and recommended follow-up for failed tests) <br /> r 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 />