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1. TANK CONTAINMENT Annular <br /> Company Name: B.Z. Service Station Maintenance <br /> Company Address: 1041 Triangle Ct.,West Sacramento,CA 95605 <br /> Credentials: ® CSLB Licensed Contractor ❑ SWRCB Licensed Tank Tester <br /> License Type: ICC License Number: 43311-19 <br /> Test Equipment Used: VACUUM CAUGE Equipment Resolution: 0.5" <br /> Tank # Tank# Tank # 'Tank # <br /> Wait lime bet\�Cen apply ine <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(Rt): <br /> Test End Time: <br /> Final Reading(RF): _ <br /> Test Duration: I HR I HR I HR 1 HR <br /> Change in Reading(RF-Rt): <br /> Pass/Fail Threshold or Criteria: 0 0 0 0 <br /> Test Result: ❑Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Was sensor removed for testing'' ❑Yes❑No❑NA ❑Yes❑No❑NA ❑ Yes❑No❑NA ❑ Yes❑No❑ NA <br /> Was sensor properly replaced and El Yes❑No❑NA ❑Yes❑No❑NA ❑Yes❑No❑NA ❑Yes❑No❑NA <br /> verified functional after testing? <br /> Test Equipment Used: VACUUM GAUGE Equipment Resolution:0.5" <br /> Tank # Tank# Tank# Tank# <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: _ <br /> Initial Reading(Rt): <br /> Test End Time: <br /> Final Reading(RF): _ <br /> Test Duration: I HR I HR I HR I HR <br /> Change in Reading(RF-RI): <br /> Pass/Fail Threshold or Criteria: 0 0 0 0 <br /> Test Result: ❑ Pass ❑ Fail ❑Pass ❑ Fail ❑Pass ❑Fail ❑Pass ❑ Fail <br /> Was sensor removed for testing? ❑Yes❑No❑NA ❑Yes❑No❑NA ❑ Yes❑No❑NA ❑Yes❑No❑NA <br /> Was sensor properly replaced and <br /> verified functional after tcstin�? El Yes El No ElNA Yes ElNo❑NA ❑Yes❑No C-]NA ❑Yes[]No❑NA <br /> Comments—(include information on repairs made prior to testing and recommended follow-itp jor jailed tests) <br /> N/A <br />