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0 <br />SWRCB, January 2002 <br />4. TANK ANNULAR TESTING <br />• Page of <br />Test Method Developed By: x Tank Manufacturer ❑ Industry Standard ❑ Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: ❑ Pressure x Vacuum ❑ Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: Dwyer Manometer <br />/ _._ _..��.. 3`%�'.>-•r`"d��, � ,_ K- <br />Tank # 1 Tank # <br />Equipment Resolution: +/- 2% <br />3 z ,�"'fb'�.+&;�"�`,'; ��4JSCe '�ii' .fi�'_ _�iY 'P}.vt hc�e'v. <br />Tank # <br />Tank # <br />Is Tank Exempt From Testing?' x Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />Tank Capacity: 10,000 <br />Tank Material: Fiberglass <br />Tank Manufacturer: Unknown <br />Product Stored: Diesel <br />Wait time between applying <br />pressure/vacuum/water and 30 min <br />starting test: <br />30 min <br />30 min <br />30 min <br />Test Start Time: <br />Initial Reading (Rj): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: 1 hour <br />1 hour <br />1 hour <br />1 hour <br />Change in Reading (RF -RI): <br />Pass/Fail Threshold or Criteria: No less than I" <br />No less than 1" <br />No less than I" <br />No less than I" <br />Test Result: ❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />Was sensor removed for testing? x Yes ❑ No ❑ NA <br />x Yes ❑ No ❑ NA <br />x Yes ❑ No ❑ NA <br />x Yes ❑ No ❑ NA <br />Was sensor properly replaced and x Yes ❑ No ❑ NA <br />verified functional after testing? <br />x Yes ❑ No ❑ NA <br />x Yes ❑ No ❑ NA <br />x Yes ❑ No ❑ NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />Annular space is brine filled <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 containment <br />tactino ft` ];Cnrn;a Cnrla Titles TI Carfinn 7AIW7 VA. k <br />