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SWRCB, January 2002 Page of Test Method Developed By: 4. TANK ANNULAR TESTING X Tank Manufacturer ❑ Industry Standard ❑ Professional Engineer C] Other (Spec) Test Method Used: ❑ Pressure ❑ Other (Spec) X Vacuum ❑ Hydrostatic Test Equipment Used: Gast Vacuum Pump/Vacuum Gauges in Hg. Tank # 1 Tank # 2 Is Tank Exempt From Testing?' ❑ Yes x No ❑ Yes x No Equipment Resolution: -'/z" x -30Hg. Tank # 3 Tank # ❑ Yes x No ❑ Yes ❑ No Tank Capacity: IOK IOK IOK Tank Material: Glass/Steel Glass/Steel Glass/Steel Tank Manufacturer: Modern Welding Modern Welding Modern Welding Product Stored: Regular 87 Super 91 Diesel Wait time between applying vacuum and starting test: 30 Minutes 30 Minutes 30 Minutes Test Start Time: 8:40 8:50 9:00 Initial Reading (Rj): -10 Hg. -10 Hg. -10 Hg. Test End Time: 9:40 9:50 10:00 Final Reading (RF): -10 Hg. -10 Hg. -10 Hg. Test Duration: I Hour 1 Hour 1 Hour Change in Reading (RF-Ri): 0 Hg. 0 Hg. 0 Hg. Pass/Fail Threshold or Criteria: No loss in lig. No loss in Hg. No loss in Hg. Test Result: X Pass Q Fail X Pass ❑ Fail X Pass 0 Fail 0 Pass"O"Ofail Was sensor removed for testing? X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Was sensor properly replaced and verified functional after testing? X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) ' Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic containment testing. {California Code of Regulations, Title 23, Section 2637(a)(6))