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L4,*9/25/2009 13:13 2094749151 HAMMER 15 ARCO PAGE 09/16 <br /> 4rRCB,January 2002 16 page 2. <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By; F] Tank Manufacturer 'Efl Industry Standard ❑ Professional Engineer <br /> Other (sped.fy) <br /> Test Method Used: ❑ Pressurc Vacuum Ej Hydrostatic <br /> Other (specify) <br /> Test Equipment Used, Equipment Resolution: <br /> ,jWk# 2 REG Tank# Tank#-- L] Tank# <br /> --E-D11 <br /> Is Twk Exempt From Testing? 17—yw No Yes No Yes No Yes 0 <br /> Tank Capacity: 12,000 <br /> Tank Material: DW FIBERG <br /> Tank Manufacturer: unknown <br /> Product Stored. REGULAR <br /> Wait finle between applying <br /> prosw=/vacuum/water and sm;LIA <br /> REGULAR <br /> ' <br /> !a �g F3 <br /> applying <br /> d <br /> 5 test. <br /> Test Start:Time: <br /> 10hg <br /> Initial Reading(RI <br /> Test End Time: 9:46 <br /> Johe <br /> Final Reading(RF 10lig <br /> Test Duration: Ihr <br /> Change in Reading(RF-1� ): 0 <br /> Pass/Fail Tbreshold or Criteria: 2hg <br /> --- -JNAj"YeLj <br /> Was 7sewc�w removed for testing? I ]y4flNoF lYa[ ]'N AIT <br /> sensor <br /> properly <br /> Was sewer properly replaced and c7NA <br /> c functional <br /> j4 0yeaff]NCNAj0YcC]NCNA 0Yes0Nc0NA0yo0 <br /> verified fimctional after testing? <br /> Comments-(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> Secondary containment systetw,where the continuous monitoring automtwally monitors both the primary and secondary <br /> containment,such as system 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 />