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4. TANK ANNULAR TESTING <br />Page of S <br />Test Method Developed By: <br />❑ Tank Manufacturer ® Industry Standard ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: <br />❑ Pressure ® Vacuum <br />❑ Other (Specify) <br />❑ Hydrostatic <br />Test Equipment Used: DIAL GAUGE <br />Equipment Resolution: 0 to 15" Hg Vacuum <br />Tank # $ 7 Tank # <br />Tank # f , Tank # j)0, ft <br />Is Tank Exempt From Testing?' <br />❑ Yes ❑ No ❑ Yes ❑ No <br />❑ Yes ❑ No ❑ Yes ❑ No <br />Tank Capacity: <br />GALLONS GALLONS <br />GALLONS GALLONS <br />Tank Material: <br />Tank Manufacturer: <br />Product Stored: <br />4f T7 g 1-9 <br />5' 11s� <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />15 Minutes 15 Minutes <br />15 Minutes 15 Minutes <br />Test Start Time: <br />.` p p e> <br />3 <br />Initial Reading (RO: <br />Test End Time: <br />"'IG C� "HG <br />Z d <br />I G " HG "HG <br />: 3O / 7 : 3,z:, <br />Final Reading (RF): <br />f c " HG G "HG <br />i " HG G "HG <br />Test Duration: <br />1 Hour 1 Hour <br />1 Hour 1 Hour <br />Change in Reading (RF-RO: <br />" HG 0 "HG <br />95" HG V, " HG <br />Pass/Fail Threshold or Criteria: <br />Zero Zero <br />Zero Zero <br />- -AM <br />WON <br />Was sensor removed for testing? ❑ Yes ® No ❑ NA ❑ Yes [A No ❑ NA <br />❑ Yes ® No ❑ NA ❑ Yes M No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />Yes ❑ No ❑ NA E9 Yes ❑ No ❑ NA <br />XYes ❑ No ❑ NA jf Yes ❑ No ❑ NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />Conoco Phillips-2705447 <br />1469 E HAMMER LN <br />STOCKTON, CA 95210 <br />n05071-SB989 Testing <br />Secondary containment systems W. ____________, .nonitors 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 />