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Z 7 <br />Page of <br />4. TANK ANNULAR TESTING <br />Test Method Developed By: <br />❑ Tank Manufacturer 0 Industry Standard ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: <br />❑ Pressure 0 Vacuum <br />❑ Other (Specify) <br />❑ Hydrostatic <br />Test Equipment Used: DIAL GAUGE I <br />Equipment Resolution: 0 to 15" Hg Vacuum <br />Is Tank Exempt From Testing? <br />MEMO <br />7Tank# $7, MAge Tank# 87.S1fMot3 <br />Yes 5LNo ❑ Yes ® No <br />Tank# 91 Tank # <br />❑ Yes 10 No ❑ Yes ❑ No <br />Tank Capacity: <br />0 GALLONS GALLONS <br />GALLONS GALLONS <br />Tank Material: <br />1= * be¢G us'r>� t t <br />t j <br />Tank Manufacturer: <br />Product Stored: <br />L ! <br />1 t <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 />; as 0 AOA AN <br />q = 20 <br />Initial Reading (RD: <br />j0 "HG 10 "HG <br />10 "HG "HG <br />Test End Time: <br />7.1300601 '9'00M% <br />10t2,0 <br />Final Reading (RF): <br />/ a " HG 10 "HG <br />j 0 " HG " HG <br />Test Duration: <br />1 Hour 1 Hour <br />1 Hour 1 Hour <br />Change in Reading (RF -RI): <br />Q "HG /0 "HG <br />0 -HG "HG <br />Pass/Fail Threshold or Criteria: <br />Zero Zero <br />Zero Zero <br />gm <br />Was sensor removed for testing? ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br />ComMents — (include information on repairs made prior to testing and recommended follow-up for failed tests) <br />— BP/Arco #05450 <br />1617 W Fremont <br />Stockton, CA. 95203 <br />N04732 — SB 989 Testing <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 />