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SWRCB, January 2002 Page of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: 0 Tank Manufacturerndustry Standard D Professional Engineer <br /> C Other(Specify) <br /> Test Method Used: 0 Pressure cuum 0 Hydrostatic <br /> E-1 Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> Sys._ <br /> i R Tank# Tank# Z Tank# Tank# <br /> Is Tank Exempt From Testing?' D YesD Yes moo• C Yes No 0 Yes 0 No <br /> Tank Capacity: .- <br /> Tank Material.- <br /> Tank <br /> aterial:Tank Manufacturer: (fAV <br /> Product Stored: Gf��G�7� � " tRG:„�1E,«, <br /> Wait time bLtti�Y 1r L:I u�piylrij /7 <br /> pressure/vacuum/water and <br /> startinu test: <br /> Test Start Time: or, <br /> Initial Reading(Rj): <br /> Test End Time: z ® � <br /> Final Reading(RF): & <br /> c <br /> Test Duration: <br /> Change in Reading(RF-R,): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: a 91ass Di Fail ass _O Fall 0 Pass 0 Fail D Pass :. 0 Fail <br /> Was sensor removed for testing? _ es 0 No 0 NA Ves 0 No ❑NA D Yes 0 No CNA D Yes 0 No 0 NA <br /> Was sensor properly replaced and <br /> verified functional after testing? 7Jf'es D No ❑NA es ❑No DNA ❑Yes ❑No C\'A 11 Yes ❑No DNA <br /> Comments — (include it formation on repairs rnade prior to testing and recornmetrded follrnv-up for failed tests) <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 <br />