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VASWRCB,January 2002 C�,— Page of <br /> 4. TANK ANNULAR TESTING <br /> Test Method Developed By: p Tank Manufacturer ❑Industry Standard ❑Professional Engineer <br /> ❑Other(Sped) <br /> Test Method Used: o Pressure 0 Vacuum 0 Hydrostatic <br /> 0 Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> Tank# Tank# Tank# Tank# <br /> Is Tank Exempt From Testing?' 0 Yes 0 No 0 Yes ❑No 0 Yes 0 No 0 Yes 0 No <br /> Tank Capacity: <br /> Tank Material: <br /> Tank Manufacturer. <br /> Product Stored: <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> s ing test: <br /> Test Start Time: <br /> Initial Reading(RI): <br /> Test End Time- <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-RI): <br /> Pass 'ail Threshold or Criteria: <br /> Test Result: ❑ Pass ❑Fail _ ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail <br /> Was sensor removed for testing? Dyes ❑No 0 NA ❑Yes 0 No 0 NA 0 Yes ❑No [INA 0 Yes ❑No 0 NA <br /> Was sensor properly replaced and <br /> verified functional after testing? ❑Yes�13 ❑ ❑Yes ❑No 0 NA 0 Yes 0 No 0 NA O Yes 0 No ❑NA <br /> COTTCHts— include information on repairs made prior to testing, and recommenced 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(a)(6)) <br />