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SWRCB,January 2002 Page of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑Tank Manufacturer 'dustry Standard ❑Professional Engineer <br /> ❑Other(Specify) <br /> Test Method Used: ❑Pressure acuum ❑Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> J �. <br /> r, Tank# ( Tank# Tank# Tarik# <br /> Is Tank Exempt From Testing?' ❑Yes ®fifo ❑Yes o ❑Yes ❑No ❑Yes ❑No <br /> Tank Capacity: xj <br /> Tank Material: <br /> Tank Manufacturer: (; r&,q- <br /> Product Stored: ^�� <br /> Wait time between applying c' <br /> pressure/vacuum/water and <br /> startin � <br /> test: f i`-�� �, �� _ <br /> Test Start Time: L <br /> Initial Reading(Rj): <br /> Test End Time: % <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-&): <br /> Pass/Fail Threshold or Criteria: i40 <br /> Test Results • ❑ Pass Fail ass b.:'Fa ❑ Pass O Fail D Pass @-Fail <br /> Was sensor removed for testing? 11/6-s ❑No ❑NA 8-7e—s ❑No ❑NA ❑Yes ❑No [INA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and des ❑No ❑NA es ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> verified functional after testin ? <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 <br />