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Page 2 of 8 am� <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑Tank Manufacturer Rl Industry Standard ❑Professional Engineer <br /> ❑Other(Specify) <br /> Test Method Used: ❑Pressure 10 Vacuum ❑Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used:Vacuum Gage Equipment Resolution: 0-30 Hg <br /> Tank # 1 Tank # 2 Tank # 3 Tank# <br /> Is Tank Exempt From Testing?' ❑Yes B No ❑Yes Q No ❑Yes B No ❑Yes ❑ No <br /> Tank Capacity: 12000 12000 12000 <br /> Tank Material: FG FG FG <br /> Tank Manufacturer: UK UK UK <br /> Product Stored: 87 Gas 91 Gas Diesel <br /> Wait time between applying <br /> pressure/vacuum/water and starting 5 min 5 min 5 m i n <br /> test: <br /> Test Start Time: 11:20 11:20 11:30 <br /> Initial Reading(Ri): -10" -10" -10" <br /> Test End Time: 112:20 12:20 12:30 <br /> Final Reading(RF): -10" -10" -10" <br /> Test Duration: 1 hr 1 hr 1 hr <br /> Change in Reading(RF-Ri): 0 0 0 <br /> Pass/Fail Threshold or Criteria: 0 0 0 <br /> Test Result; fly 'i .1"ess Gf Fail C Passrt Fail ' C✓.Pa r '';❑ Falt Q Pass Cf Fait- .r. : <br /> Was sensor removed for testing? ®Yes ❑ No ❑ NA R1 Yes ❑ No ❑ NA ®Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA <br /> Was sensor property replaced after <br /> testing? p Yes L3No E3NA R1 Yes ❑ No ❑ NA (Z Yes LlNo ❑ NA L)Yes LlNo LlNA <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 containment, <br /> such as systems that are hydrostatically monitored or under constant vacuum,are exempt from periodic containment testing. <br /> {California Code of Regulations,Title 23,Section 2637(a)(6)1 <br />