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SWRCB,january 2002 Page of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑Tank Manufacturer Industry Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure Vacuum ❑Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: Equipment Resolution: <br /> Tank# Tank# Tank# Tank# <br /> Is Tank Exempt From Testing?' ❑Yes ,<No ❑Yes KNo ❑Yes AN-0 ❑Yes ❑No <br /> Tank Capacity: DD " ` poo k, <br /> Tank Material: <br /> Tank Manufacturer: ( C <br /> Product Stored: <br /> Wait time between applying <br /> pressure/vacuunihvater and <br /> starting test: <br /> Test Start Time: 10 '1 'S D ID ` � <br /> Initial Reading(RI): <br /> Test EndTime: e <br /> Final Reading(RF): ®s <br /> Test Duration: <br /> Change in Reading(RF-114): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: Pass ❑Fail ass ❑Fail Pass ❑Fail ❑ Pass ❑Fail <br /> Was sensor removed for testing? Yes ❑No ❑NA es ❑No ❑NA es ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and yes ❑No ❑NA es ❑No ❑NA Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> verified functional after testing`? <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 /> tPctina iralifnrnin rruin n'rRwc"0n6nnc Titlp 7'2 Cvrtinn �(,2'7(al(F.11 <br />