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E ISWRCB, January 2002 IE Page _3_ of —9- Final Reading (RF): 4. TANK ANNULAR TESTING 10" 10" Test Method Developed By: ❑ Tank Manufacturer ® Industry Standard ❑ Professional Engineer 1 HR ❑ Other (Spec) 1 HR Change in Reading (RF -RI): 0" Test Method Used: ❑ Pressure ® Vacuum ❑ Hydrostatic NO LOSS ❑ Other (Specify) NO LOSS NO LOSS Test Result: Test Equipment Used: 0 — 30" VACUUM GAUGES Pass ❑ Fail Equipment Resolution: + / - 0.002" Pass ❑ Fail OEM Was sensor removed for testing? ElIKEEMENSim ®Yes [:]No ❑ NA Tank # 87(1) Tank # 87(2) Tank # 87(3) Tank # 91 Is Tank Exempt From Testing?' ElYes ® No ElYes ® No ElYes ® No ElYes ® No Tank Capacity: 10000 10000 10000 10000 Tank Material: FIBERGLASS FIBERGLASS FIBERGLASS FIBERGLASS Tank Manufacturer: XERXES XERXES XERXES XERXES Product Stored: 87 87 87 91 Wait time between applying pressure/vacuum/water and 10 MIN 10 MIN 10 MIN 10 MIN starting test: Test Start Time: 9:00 AM 9:00 AM 9:00 AM 9:00 AM Initial Reading (RI): 10" 10" 10" 10" Test End Time: 10:00 AM 10:00 AM 10:00 AM 10:00 AM Final Reading (RF): 10" 10" 10" 10" Test Duration: 1 HR 1 HR 1 HR 1 HR Change in Reading (RF -RI): 0" 0" 0" 0" Pass/Fail Threshold or Criteria: NO LOSS NO LOSS NO LOSS NO LOSS Test Result: ®;'Pass ❑ Fall 0 Pass ❑ Fail ® Pass ❑ Fail N'Pass ❑ Fall Was sensor removed for testing? ® Yes [:]No ❑NA ®Yes [:]No ❑ NA Oyes ❑ No ❑ NA ®Yes [:]No ❑ NA Was sensor properly replaced and verified functional after testing? ®Yes ❑ No[]No [:INA ® yes ❑ NA ®Yes [:]No ❑ NA ®Yes [--]No ❑ NA Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) ' Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. {California Code of Regulations, Title 23, Section 2637(a)(6))