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Page .Z of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑Tank Manufacturer ®Industry Standard ❑Professional Engineer <br /> ❑Other(Specify) <br /> Test Method Used: ❑Pressure ®Vacuum ❑Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: DIAL GAUGE i Lrr, Equipment Resolution:0 to 15"Hg Vacuum <br /> EJ <br /> Tank 5k 17 Tank# Tank# Tank# <br /> Is Tank Exempt From Testing?' ❑Yes IR-No ❑Yes Emo ❑Yes BNO ❑Yes ❑No <br /> Tank Capacity: /�, `> GALLONS GALLONS GALLONS GALLONS <br /> Tank Material: <br /> Tank Manufacturer: <br /> Product Stored: o C <br /> Wait time between applying <br /> pressure/vacuum/water and 15 Minutes 15 Minutes 15 Minutes 15 Minutes <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(RO: 14 "HG C) "HG )'HG "HG <br /> Test End Time: ', e ,` 3 o f`S <br /> Final Reading(RF): 0 "HG fj "HG le "HG "HG <br /> Test Duration: 1 Hour 1 Hour 1 Hour 1 Hour <br /> Change in Reading(RF-RD: "HG "HG "HG "HG <br /> Pass/Fail Threshold or Criteria: Zero Zero Zero Zero <br /> ELL <br /> WA <br /> Was sensor removed for testing? ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and ❑Yes ❑No ❑NA ❑Yes ❑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 /> Chevron-201761 <br /> 1103 S MAIN ST <br /> Manteca, CA 95337-5743 <br /> N04884-S989 Testing <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 />