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Page 2 of 9 ego <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ❑ Tank Manufacturer ® Industry Standard ❑Professional Engineer <br /> ❑ Other(Specify) <br /> Test Method Used: ❑ Pressure ® Vacuum ❑ Hydrostatic <br /> ❑ Other(Specify) <br /> Test Equipment Used:Vacuum Gauge Equipment Resolution: 0-30 Hg <br /> 1=111111E M, Tank#87 Tank#87 Syphone Tank#91 Tank# <br /> Is Tank Exempt From Testing? ❑Yes ®No <br /> El Yes ®No El Yes ®No [_1 Yes ❑No <br /> Tank Capacity: 12000 Gal 12000 Gal 12000 Gal <br /> Tank Material: D/W Steel D/W Steel D/W Steel <br /> Tank Manufacturer: Unknown Unknown Unknown <br /> Product Stored: Unleaded 87 Unleaded 87 Unleaded 91 <br /> Wait time between applying <br /> pressure/vacuum/water and 10 min 10 min 10 min <br /> starting test: <br /> Test Start Time: 2:45 PM 1:30 PM 1:45 PM <br /> Initial Reading(Rj): 5 Hg 5 Hg 5 Hg <br /> Test End Time: 3:45 PM 2:30 PM 2:45 PM <br /> Final Reading(RF): 5 Hg 5 Hg 5 Hg <br /> Test Duration: 60 min 60 min 60 min <br /> Change in Reading(RF-R,): 0 0 0 <br /> Pass/Fail Threshold or Criteria: 5 Hg 5 Hg 5 Hg <br /> Test Result: Z Pass l ❑Fail Z Pass El Fail ® Pass ❑Fail ❑ Pass ❑ Fail <br /> Was sensor removed for testing? ❑Yes[:]No❑NA ®Yes❑No[—INA ®Yes[:]No❑NA ❑Yes[:]No[_]NA <br /> Was sensor properly replaced and <br /> verified functional after testing? ®Yes❑No❑NA ®Yes❑No❑NA ®Yes❑No❑NA ❑Yes❑No❑NA <br /> Comments— (include information on repairs made prior to testing, and recommended folloia,-up for failed tests) <br /> I iTI 'x <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 />