Laserfiche WebLink
SWRCB, January 2002 <br />d 'TA1VV AMATFTT A'U re*VCmrwTn <br />Page of <br />Test Method Developed By: <br />__ iAJIJ 1J1!\E <br />❑ Tank Manufacturer X Industry Standard C Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: <br />❑ Pressure <br />❑ Other (Specify) <br />Xvacuum <br />C Hydrostatic <br />Test Equipment Used: Vacuum Gauge <br />Equipment Resolution: 0 <br />Is Tank Exempt From Testing?' <br />Tank # 1 DIESEL <br />Tank # 2 <br />Tank # 3 Tank # <br />❑ Yes X No ❑ Yes ❑ No <br />❑Yes D No El Yes ❑ No <br />Tank Capacity: <br />12032 <br />Tank Material: <br />STEEL <br />Tank Manufacturer: <br />UNK <br />Product Stored: <br />DIESEL <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />0 <br />Test Start Time: <br />1:00 <br />Initial Reading (R,): <br />10" HG <br />Test End Time: <br />2:00 <br />Final Reading (RF): <br />10" HG <br />Test Duration: <br />I HOUR <br />Change in Reading (RF -R,): <br />0 <br />Pass/Fail Threshold or Criteria: <br />0 <br />Test Result: <br />X Pass C Fail <br />D Pass ❑ Fail <br />❑ Pass ❑ Fail ❑ Pass ❑ Fail <br />Was sensor removed for testing? <br />X Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />C Yes ❑ No ❑ NA ❑ Yes C No ❑ NA <br />Was sensor properly replaced and <br />verified functional after, testin ? <br />X Yes ❑ No X NA <br />❑ Yes ❑ No ❑ <br />[I11NA C Yes No D NA Yes ❑ No ❑ NA <br />COrilIitCOS — (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(a)(6)) <br />