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0 RECEIVED <br /> SWRCB,January 2002 AUG 2 3 201 <br /> 4. TANK ANNULAR TESTING ENVIRONMENTAL <br /> Test Method Developed By: ❑Tank Manufacturer 0 Industry Standard ❑Professio T WEPART T <br /> ❑Other(Specify) <br /> Test Method Used: ❑Pressure ❑X Vacuum ❑Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: 4"dial gauge Equipment Resolution: .2 <br /> UE0420001 <br /> Is Tank Exempt From Testing?' ❑Yes ❑X No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> Tank Capacity: 25,018 <br /> Tank Material: Steel/Fiberglass <br /> Tank Manufacturer: Modern <br /> Product Stored: Diesel <br /> Wait time between applying <br /> pressure/vacuum/water and 15 min. <br /> starting test: <br /> Test Start Time: 9:30am <br /> Initial Reading(Rj): -10 hg <br /> Test End Time: 11:30am <br /> Final Reading(RF): -10 hg <br /> Test Duration: 2 hours <br /> Change in Reading(RF-R,): 0 <br /> Pass/Fail Threshold or Criteria: 0 <br /> Test Result: ❑X Pass ❑Fail ❑Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail <br /> Was sensor removed for testing? ❑X Yes ❑No ❑NA ❑Yes El No❑NA ❑Yes❑No❑NA ❑Yes❑No❑NA <br /> Was sensor properly replaced and ❑Yes [E]No ❑NA <br /> verified functional after testing? ❑Yes❑No❑NA ❑Yes❑No❑NA ❑Yes❑No❑NA <br /> Comments— (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> 1 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)1 <br />