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B <br /> All <br /> (XiLp <br /> l Jan 002 Page <br /> _ ., r, , <br /> c"cle SF, fes. TANK ANNULAR TESTING <br /> Test Method Developed By: 0 Tank Manufacturer ' Industry Standard 0 Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: d(f'ressure 0 Vacuum ❑Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: rig siF t., Equipment Resolution: <br /> Tank# Tank# Tank# Tank# <br /> Is Tank Exempt From Testing?' 0 Yes kNo 0 Yes ❑No 0 Yes ❑No 0 Yes ❑No <br /> Tank Capacity: <br /> Tank Material: 54; e- <br /> Tank Manufacturer: <br /> Product Stored: ' 9/ <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(R): 3 /i <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: /f <br /> Change in Reading(RF R) <br /> Pass/Fail Threshold or Criteria: f? "S <br /> Test Result: )(Pass 0 Fail 0 Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fall <br /> Was sensor removed for testing? W. es 0 No ❑NA ❑Yes O No DNA ❑Yes O No ❑NA O Yes ❑No ❑NA <br /> Was sensor properly replaced and t Yes O No O NA Oyes ❑No O NA ❑Yes O No O NA ❑Yes O No ❑NA <br /> verified functional after testis ? `r1 <br /> ComMentS—(include information on repd'rrs made prior to testing,and recommended follow-up for farted tests) <br /> r 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 />