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I <br /> SWRCB,January 2002 <br /> Page of <br /> 4. TANK ANNULAR TESTWG <br /> Test Method Developed By: x Tank Manufacturer ❑Industry Standard ❑Professional Engineer <br /> ❑Other(Sped) <br /> Test Method Used: ❑Pressure x Vacuum ❑Hydrostatic <br /> ❑Other(Sped) <br /> Test Equipment Used Dwyer Manometer Equipment Resolution.+/ 2% <br /> x3 ; e,��' � .� k > y x rx� �,ff /�v� ,wr„�Y'':-« :�.s,.x.,-', � r s...,. 1...=%. r..."<tz,az;. ` .#�-w,taf s�.,i•:�'� �'s�k?, :...;� . a.,u ,?a,..�:; <br /> Tank# 1 Tank# Tank# Tank# <br /> Is Tank Exempt From Testing?' x Yes ❑No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> Tank Capacity: <br /> Tank Material: <br /> Tank Manufacturer: <br /> Product Stored: <br /> Wait time between applying <br /> pressure/vacuum/water and 30 min 30 min 30 min 30 min <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(RI): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: I hour 1 hour 1 hour 1 hour <br /> Change in Reading(RF-R1): <br /> Pass/Fail Threshold or Criteria: No less than 1” No less than 1" No less than I" No less than 1" <br /> TestResult: ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fall ❑ Pass ❑Fail <br /> Was sensor removed for testing? x Yes ❑No ❑NA x Yes ❑No ❑NA x Yes ❑No ❑NA x Yes ❑No ❑NA <br /> Was sensor properly replaced and x Yes ❑No ❑NA x Yes ❑No ❑NA x Yes ❑No ❑NA x Yes ❑No ❑NA <br /> verified functional after testin ? <br /> _CO a — (include information on repairs made prior to testing and recommended follow-up for failed tests) <br /> Annular space is wet <br /> 0EC % 4 /01 <br /> �igV1R0 N J �- _.. ZEAL <br /> 2 -l. <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 />