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Page of <br /> 4. 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: DIAL GAUGE Equipment Resolution:0 to 15"Hg Vacuum <br /> I� <br /> Tank Tank Tank Tank 1 <br /> Is Tank Exempt From Testing. ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No I <br /> Tank Capacity: GALLONS GALLONS GALLONS GALLONS <br /> Tank Material: Fiberglass Fiberglass Fiberglass Fiberglass <br /> Tank Manufacturer: <br /> Product Stored: 7 G <br /> Wait time between applying <br /> pressure/vacuum/water and 15 Minutes 15 Minutes 15 Minutes 15 Minutes <br /> starting test: <br /> i <br /> Test Start Time: <br /> Initial Reading W: "HGI O"HG "HG "HG <br /> i <br /> Test End Time: z d ;1_y <br /> Final Reading(RF): `p"HG lo"HG 'HG 'HG <br /> Test Duration: 1 Hour 1 Hour 1 Hour 1 Hour <br /> Change in Reading(RF-RI): 0 -HG a5 "HG "HG "HG <br /> -----Pass/Fail"Threshord-or Criteria: ---- — Zero --Zero ______Zero Zero <br /> Test Result: t•Pass ❑Fail K Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail <br /> Was sensor removed for testing? ❑Yes KNo ❑NA ❑Yes jHNo ❑NAS: ❑Yes❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and <br /> verified functional after testing? Dyes ❑No ®NA Dyes ❑No j&NA' ❑Yes❑No ❑NA ❑Yes ❑No ❑NA <br /> jL <br /> Comments-(include information on repairs rade prior to testing,and recommended fo How-u for failed tests i <br /> I <br /> i <br /> i <br /> i <br /> Chevron #209167 <br /> f 234 YOSOMIte Ave <br /> Manteca, Ca <br /> D8057 SS989 <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 /> IE <br />