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a t <br /> SWR.C;B,January 2002 <br /> Pages of <br /> 4. .TANK ANNULAR TESTING <br /> Test Method Developed By: m 0 Tank Manufacturer 0 Industry Standard ❑Professional Engineer <br /> _ D Other(Spec) <br /> Test Method Used: D Pressure . Q'Vacuum Q Hydrostatic <br /> 0 Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> Tank.# Tank# Tank# Tank# <br /> Is Tank Exempt From Testing? D Yes 0 No 0 Yes 0 No 0 Yes 0 No Yes D No <br /> Tank Capacity: <br /> Tank Material: <br /> Tank Manufacturer: <br /> Product Stored: <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(Rj): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-RI): <br /> Pass/Fail Threshold-or criteria: <br /> U-..>. .. .t a. ..�-.:, .?... .r ' ,' �.d3$'�,s .0".aY.� r'''�+�..'. � '$l�x• n.ara.Y`L:'°mS UQ, <br /> Was <br /> u <br /> Was sensor removed for testing? 13 Yes D No 0 NA D 0 No NA 0 Yes D No DNA. Q Yesu No 0 NA <br /> Was sensor properly replaced and T Yes 0 No 0 NA <br /> verified functional after t n ? 0 D No DNA Q Yes D No DNA Q Yes Q No u NA <br /> Comments---(Included o W rr o re irs mar, rior to testing, and recommended allow- or failed tests <br /> 'Secondary containment systems wlk -e the continuous monitoring automatically monitors both the primary and secondary <br /> containment,such as systems that ars: z)drostatically monitored or under constant vacuum,are exempt from periodic containment <br /> testing. (California Code of Regulali n.;,Title 23,Section 2637(a)(6)) <br /> Cl 2$16919 6 0 2 T SJOIDeWOO AI 84T13 eZE a0T 21 02 AOW <br />