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Page 1 of 2 <br /> 201761 <br /> 1. 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: 4"Oil filled Gauge Equipment Resolution: 0 <br /> Tank#87-1 Tank# 87-2 Tank#91 <br /> Is Tank Exempt From Testing?' El Yes ®No [—I Yes ®No El Yes ®No <br /> Tank Capacity: <br /> Tank Material: Fiberglass Fiberglass Fiberglass <br /> Tank Manufacturer: <br /> Product Stored: 87 Gas 87 Gas 91 Gas <br /> Wait time between applying <br /> pressure/vacuum/water and starting 30 minutes 30 minutes 30 minutes <br /> test: <br /> Test Start Time: 9:56am 8:47am 8:30am <br /> Initial Reading(Ri): 10 HG 10 HG 10 HG <br /> Test End Time: 10:56am 9:47am 9:30am <br /> Final Reading(RF): 10 HG 10 HG 10 HG <br /> Test Duration: 1 hour 1 hour 1 hour <br /> Change in Reading(RF-R,): 0 0 0 <br /> Pass/Fail Threshold or Criteria: 0.00 0.00 0.00 <br /> Test Result: ® Pass ❑Fail 0 Pass ❑Fail ® Pass ❑Fail ' ❑ Pass ❑'Fail <br /> Was sensor removed for testing? ❑Yes®No[:INA ❑Yes®No[:INA ❑Yes®No❑NA ❑Yes❑No❑NA <br /> Was sensor properly replaced and <br /> verified functional after testin ? ❑�'es®No❑NA ❑Yes®No❑NA ❑Yes®No❑NA ❑Yes[—]No[—INA <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)1 <br />