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r r <br /> SWRCB,January 2002 Page of <br /> 4. TANK ANNULAR TESTING <br /> Test Methc:d Developed By: ❑Tank Manufacturer ?1ndustry Standard ❑Professional Engineer <br /> ❑Other(Specify) <br /> Test Method Used: ❑Pressure Z/acuum ❑Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: VACUUM Equipment Resolution:Hg <br /> MIZIMENEINium, KNEE= <br /> Tank#41/DSL Tank# Tank# Tank# <br /> Is Tank E-,.empt From Testing?' ❑Yes ZNo ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> Tank Capz.city: 12K <br /> Tank Material: FIBERGLASS <br /> Tank Manufacturer: UNKNOWN <br /> Product Shored: GAS/DIESEL <br /> Wait time between applying <br /> pressure/l-acuum/water and 2 hrs <br /> starting to st: <br /> Test Start Time: 1000 <br /> Initial Reading(Rj): 10" <br /> Test End Time: 1100 <br /> Final Reading(RF): 10" <br /> Test Duration: 1hr <br /> Change in Reading(RF-RI): 0 <br /> Pass/Fail Threshold or Criteria: 2 <br /> Test Result: O(Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail <br /> Was sensor removed for testing? PI'Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and C/Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> verified unctional after testin ? <br /> COM lints—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> Had vacuum on system while backfilling and laying concrete. Started test after concrete was poured <br /> Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary <br /> eontainrr.ent,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 />