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Page �)o€ , <br /> _ 4. TANK ANNULAR TESTING <br /> Test Method Developed By: Q Tank Manufacturer ®Industry Standard D Professional Engineer <br /> Q Other(Specify) _ <br /> Test Method Used: ❑Pressure ®Vacuum Q Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: DIAL GAUGE Equipment Resolution:©to 15"H9 Vacuum <br /> Tank# <br /> T7-1 Tank# v -7•� Tank# <- 7--7 Tack# y?/ <br /> Is Tank Exempt From Testing?' Q Yes p'No D Yes 13 No ❑Yes ©No _ D Yes EI No <br /> Tank Capacity: GALLONS GALLONS GALLONS GALLONS <br /> Tank Material: <br /> Tank Manufacturer: <br /> Product Stored: 7 <br /> Wait time between applying <br /> pressure/vacuum/water and 15 Minutes 15 Minutes 15 Minutes 15 Minutes <br /> stastin test: _ <br /> Test Start Time: `_ ;2 3 _ Tr';r — <br /> Initial Reading(Rr): /v "HG l o "HG j o "HG _ t v "HG <br /> Test End Time: ; Z 91 Z3 I <br /> " "HG "HG /2' "HG <br /> Final Reading(RF): /� HG __._. � _ <br /> Test Duration: 1 Hour 1 Hour 1 Hour 1 Hour <br /> Change in Reading(RF-U: 0 "HG a5 -HG 0 "HG 40 "HG <br /> Pass/Fail Threshold or Criteria: Zero Zero Zero _ Zero <br /> Was sensor removed for testing? Q Yes QNo Q NA ®Yes BNo D NA D Yes BWO D NA D Yes B N'o 0 NA <br /> Was sensor properly replaced and D Yes Q No O'RA ®Yes Q No B-NA D Yes Q No ONA Q Yes i❑No CrNA <br /> verified functional after testing? <br /> COII2Ments—(include infonnation on repairs made pt'ior to testing,and recommended follow-up for failed tests) _ <br /> Arco#02093 <br /> 3425 Tracy Blvd. <br /> Tracy, Ca 95376 <br /> Nick$arvey <br /> #09143 SB 989 <br /> Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br /> :ontainment,such as systems that are hydrostatically monitored or under constant vacuum,are exempt from periodic containment <br /> 2sting. {California Code of Regulations, Title 2.3,Section 2637(a)(6)) <br />