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iomft"Rl�= � <br />rrjr�= <br />Page _C-) of <br />0 Professional Engineer <br />MMMMM�_ <br />is Tank Exempt From Testing?' <br />Tank Capacity: <br />trtm!nag <br />"ANO OKI <br />Trra <br />ank Manufacturer: <br />Product Stored: <br />IWait time ��e �napj� �Iying <br />pressure/vacuum/water and <br />startin�, test'. <br />Test S tart <br />Initial Reading (Rj): <br />Test End Time: <br />Final Reading (RF�� <br />): <br />Test Duration: <br />Change in Reading (Rfz-R,): <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />Was sensor removed for testing? <br />C>- <br />-0 <br />Pass 0 Fail 0 Pass 0 Fail n Pass 0 Fail <br />Yes ONo DNA OYes DNO DNA OYes f]No ONA <br />Yes ONo DNA EjYes DNo DNA DYes ENo DNA <br />0 Pass 0 Fail <br />Yes No I NA <br />t]Yes --No DNA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />g automatically monitors both the primary and secondary <br />us monitorin <br />Secondary containment systems where the cOntinuo are exempt from periodic containment <br />as systems that are hydrostatically monitored or under constant vacuum, <br />containment, such <br />testing. (California Code of Regulations, Title 23, Section 2637(a)(6)) <br />