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1 <br /> SWRCB,January 2002 Page of <br /> 4. TANK ANNULAR TESTING <br /> FTestMethod Developed By: x Tank Manu D Ind S d ❑Professional Engineer <br /> ❑ ci')Method Used: ❑ ure x Vacuum ❑Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used Dwyer ManometerEq ent Resolution +/ 2% <br /> -1 <br /> Tank#. <br /> Tank# Tank# <br /> Is Tank Exempt From Testing?' x Yes O No ❑Yes ❑No D Yes ❑No D Yes ❑No <br /> Tank Capacity: <br /> Tank Material: <br /> Tank Manufacturer. <br /> Product Stored: <br /> Wait time between applying <br /> pressuretvacuum/water and 30 min 30 min 30 min 30 min <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(RQ: <br /> Test End Time: <br /> Final Reading(RF): <br /> l hour 1 hour I hour 1 hour <br /> Test Dion: <br /> Change in Reading ": <br /> Pass/Fail hold or Criteria: No less than t" No less than t" No less than I" No less than t" <br /> Testult: ® Pass O Fail O Pass O Fail ❑ P2ss O Fail O Pass O Fait <br /> Was sensor removed for testijand <br /> x Yes O No DNA x Yes ONo ❑ x Yes ❑No DNA x Yes 0 N ❑NA <br /> Was sensor properly replacedx Yes D No DNA x Yes ❑No ❑NA xYes DNo DNA xYes ❑No ❑NA <br /> verified functional after <br /> Comments—(include information on repairs made prior to testing: and recommended follow-up far failed tests) <br /> Annular space is wet <br /> ' Secondary containment systems where the continuous monitoringautomatically 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 />