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Mai 23 13 06:44a Elit IV Contactors 12094W342 p.5 <br />SWRCB, January 2002 rage _� or <br />A T A Wil A WWTTT AD T'CCTTNP_° <br />Test Method Developed By: <br />O Tank Manufacturer RIndustry Standard O Professional Engineer <br />0 Other (Specify) <br />Test Method Used: <br />srPressure <br />0 Vacuum <br />O Hydrostatic <br />0 Other (Specj&) <br />Test Equipment Used: P ,. • Ar <br />ULLAQ <br />Eq iil ment Resolution: <br />Tank # 87 0e <br />Tank # <br />Tastk 4` Tank f# <br />is. Tank Exempt'From Testing?' <br />❑ Yes No <br />❑ Yes O No <br />G1' c:s 0 No 0 Yes ONo <br />Tank Capacity: <br />Tank Material: <br />Tank Manufacturer: <br />i <br />Product Stored: <br />F7 axebt-')3 <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />p y <br />Initial Reading <br />Test End Time: <br />Final Reading (RF): <br />3 2-F-A <br />Test Duration: <br />Change in Reading (RF-Ri): <br />_ <br />Pass/Fail Threshold or Criteria: <br />Tes.t;Res.uit: <br />Was sensor removed for testing? <br />Yes ONo DNA <br />0Yes 0 N 0 N <br />❑ONo 'ONA ❑Yes ONo. 13NA <br />Was -sensor properly -replaced -and- <br />: ..-............_ <br />Yes is No. O NA <br />_._._........ _- .. <br />O Yes O No d NA <br />I No NA O Y es O No [INA " <br />verified functional after testing? <br />Comments — (inctude-infor»Yation an repairs made�rior to testing, and recommendedr'ae _w -up for failed tests) <br />Secondary containment systems where the continuous monitoring automatically monitors but the primary and secondary <br />containment, such as systems that are hydrostatically monitored or under constant vacuum, ate ..:edipt from periodic containment <br />testing. (California Code of Regulations, Tide 23, Section 2637(a)(6)) <br />