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SWRCB,January 2002 Page of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑Tank Manufacturer ❑Industry Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum ❑Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> Tank#1 Tank# Tank# Tank# <br /> Is Tank Exempt From Testing?' X Yes No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> Tank Capacity: l0k <br /> Tank Material: Fiberglass <br /> Tank Manufacturer: Containment <br /> Solutions <br /> Product Stored: Regular <br /> Wait time between applying <br /> vacuum and startingtest: See Comments <br /> Test Start Time: <br /> Initial Reading(RI): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-RI): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: ❑ Pass 0 Fail 0 Pass ❑Fail Q Pass Q Fail ❑ Pass ❑Fail <br /> Was sensor removed for testing? ❑Yes []No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and ❑Yes ❑No ❑NA ❑Yes ❑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 /> Tank has Brine filled Annular, and is Exempt from Periodic Testing. <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 /> testing. {California Code of Regulations,Title 23, Section 2637(a)(6)) <br />