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SWRCB,January 2002 Page 2—of2- <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: ank Manufacturer ❑Industry Standard ❑Professional Engineer <br /> Other(Spec) <br /> Test Method Used: ❑Pressure ": " Vacuum ❑Hydrostatic <br /> ❑Other(Spec' ) <br /> Test Equipment Used: <br /> Usne'd e��u- �-u,. <br /> u �� � Equipment pment+�R.esolution - <br /> . �,,.;..,r3 <br /> � ! <br /> 112,- <br /> k#1- Tank# 2 Tank# ank# <br /> Is Tank Exempt From Testing?' ❑Yeso ❑Yes fNo ❑Yes ❑gNo ❑Yes 101TNo <br /> Tank Capacity: !2 EG. 21� P/ <br /> Tank Material: @ t 5 C <br /> Tank Manufacturer: <br /> Product Stored: <br /> Wait time b een applying <br /> pressureacu ater and <br /> startin <br /> teft L In o v Y �.c <br /> Test Start Time: g ' rJ 0 ,110 <br /> Initial Reading(RI): *7 <br /> Test End Time: G 1 / <br /> Final Reading(RF): _ t 1 I 14- <br /> Test Duration: <br /> Change in Reading(RF-Rr):. <br /> Pass/Fail Threshold or Criteria: 4Q U U)S a'K t4q Ad L) t6t S tA <br /> TestResult: .dass ❑ allass ❑Fail Pass ❑Fail ❑ Pass ❑Fall <br /> Was sensor removed for testing? pies ❑No ❑NA :ir1'es ❑No ❑NA Yes ❑No ❑NA Yes ❑N ❑NA <br /> Was sensor properly replaced and ❑ s ❑No ❑NA ,iYes ❑No ❑NA Yes ❑No ❑NA ❑Yes ❑No NA <br /> verified fimctional after testin ? r <br /> Comments (include information on repairs made prior to testing, and recommended follow-up for failed tests) <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(x)(6)} <br />