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i <br /> f <br /> Page ? of <br /> 4. TANK ANNULAR TESTING j <br /> ETestMethod <br /> d Developed By: D Tank Manufacturer ®Industry Standard D Professional Engineer <br /> ❑Other(Spec) <br /> Used: D Pressure ®Vacuum D Hydrostatic <br /> D Other(Specify) <br /> Testlquipment.Used: DIAL GAUGE Equipment Resolution:0 to 15"Hg Vacuum <br /> Tank# 71SF'GALLONS <br /> nk# T'7--, Tank# �� Tank# <br /> Is Tank Exempt From Testing?' O Yes Yes D No D Yes O No D Yes D No f <br /> Tank Capacity: GALL � 00GALLONS GALLONS <br /> i <br /> Tank Material: <br /> Tank Manufacturer: <br /> Product Stored: (s r cc 1• '9' 7 _ <br /> Wait time between applying f <br /> pressure/vacuum/water and 15 Minutes 15 Minutes 15 Minutes 15 Minutes <br /> starting test: _ <br /> Test start Time: /z.•rs/ a:31 /t`?•"S 9 <br /> Initial Reading(RO: /cs"HG /p "HG /p" HG "HG <br /> Test End Time: /_`ty/ //131 !=5,9 <br /> Final Reading(Rv): /cy "HG /0 ."HG /&"HG »HG <br /> Test Duration: 1 Hour i Hour 1 Hour 1 Hour <br /> Change in Reading(RF-R,): "HG of "HG g"HG "HG <br /> Pass/Fail Threshold or Criteria: Zero Zero Zero Zero <br /> Was sensor removed for testing?a Ej-'l''es D No D NA UWes D No D NA: es D No DNA D Yes D No D NA <br /> Was sensor properly replaced and er D No D NA i9-Yes D No DNA 1 lames D No p NA O Yes O No DNA <br /> verified functional after testing? <br /> 1 <br /> Comments (include infonnadon on repairs made prior to testin& and recommended follow-up for failed tests) <br /> i <br /> i <br /> , <br /> Bp#02133 Holt Dr <br /> 2.908 W Benjamin <br /> Stockton,Ca <br /> —08103 0989 _•..------ <br /> Secondary <br /> .---Secondary containment systems where thewaxuuous 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 i <br /> testing. {California Code ofRegi?Iations,Title 23,Section 2637(x)(6)} <br />