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Mar.03.2012 02:37 PM PjWnvironmental <br />SWRCB, January 2002 <br />559 29 445 PAGE. 3/ 10 <br />Page _ of <br />4. TANK ANNULAR TESTING <br />Test Method Developed By: U Tank Manufacturer ❑ Industry Standard ❑ Professional Engineer <br />0 Other (Specify) __�-- _^T M <br />Test Method Used: U Pressure R 'Vacuum fl Hydrostatic <br />I I Other (,Spec) <br />Test Equipment Used: Equipment Resolution: <br />CoMment3 -- (include information on repairs made prior to lesting, and recomr„ ended jollvw�up for failed tests) <br />1 Secondary containment systems whore 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(x)(6)} <br />Tank # T7/91 <br />Tank # <br />Tank # <br />Tank # <br />Is Tank Exempt From Testing?` <br />❑ Yes Vo <br />❑ Yes 0qo <br />0 Yes Clio <br />LJ Yes U No <br />Tank capacity: <br />Q. <br />Tank 'Material: <br />bneW <br />Tank Manufacturer: <br />Product Stored: <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />�J ► _ _. _ ._ <br />I„>M_ <br />'rest Start Time: <br />Initial Reading (R,): <br />10 113 <br />in <br />_ <br />Test End Time: <br />12'.001 <br />5 <br />31 <br />Final Reading (RF): <br />_.d <br />`Q iVal, <br />I Olin y4 <br />In VAt- <br />Test Duration: <br />1 hr <br />1� lIr <br />hv <br />Change in Reading(RF-R,): <br />"In <br />O ',n ypt(,."Lla <br />Yet <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />pass ❑ Fail <br />F.PPass ❑ Fail <br />$ Pass ❑ Fail <br />_❑ Pass (I Fail <br />Was sensor removed for testing? <br />lj Ves I..] No I INAc's <br />fl No ❑ NA <br />Fes LJ No U NA <br />0 Yes ❑ No 0 NA <br />Was sensor properly replaced and <br />verified functional after testi n 7 <br />['es U No U NA' <br />Ca No ❑ NA <br />Iles (] No 1.1 NA <br />171 Yes Cl No ❑ NA <br />CoMment3 -- (include information on repairs made prior to lesting, and recomr„ ended jollvw�up for failed tests) <br />1 Secondary containment systems whore 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(x)(6)} <br />