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SWRCB,January 2002 Page L-of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: Manufacturer 0 Industry Standard 0 Professional Engineer <br /> ❑Other(Specie) <br /> Test Method Used: 0 Pressure Vacuum 0 Hydrostatic <br /> ❑Other(S eco) <br /> Test Equipment Used: 6474 uucu4,- -LuM ►lit Per. Equipment Resolution:-� �, -'36 t <br /> Tank# T )Tank# bank# ank# s <br /> Is Tank Exempt From Testing?' D Yes o `: D Yes D No Yes 0 No ❑Yes 0 No 3� <br /> Tank Capacity: [2-14- <br /> Tank <br /> Zh-Tank Material: z S i, <br /> Tank Manufacturer: L")6t/-W <br /> Product Stored: <br /> Wait time between applying <br /> pressure/v uu ater and <br /> startingtest.-- �t 0 1A ✓ <br /> Test Start Time: ._ i <br /> Initial Reading(Ri): <br /> Test End Time: X. <br /> Final Reading(RF): <br /> Test Duration: <br /> Change hi Reading(RF-Rt): lam. <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: LKPass ❑Fail ❑ Pass ❑ it Pass ❑ Fa Pass ❑F it <br /> Was sensor removed for testing? ❑Yes No ❑NA D es ❑No D Yes D No ❑ Yes ❑No ❑ A <br /> Was sensor properly replaced and D Yes 0 No ) NA Yes ❑No 0 N 0 Yes 0 No 0 N ❑Yes 0 No ❑ <br /> verified functional after testin ? <br /> Comments-(include information on repairs made prior to testing, and recommended follow-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 containment <br /> testing. (California Code of Regulations,Title 23, Section 2637(a)(6)) <br />