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Page 1 of 2 <br /> 209167 <br /> 1 . TANK ANNULAR TESTING <br /> Test Method Developed By : ❑ Tank Manufacturer ®Industry Standard ❑Professional Engineer <br /> ❑ Other (Spec) <br /> Test Method Used : ❑Pressure ® Vacuum ❑Hydrostatic <br /> ❑ Other (Specify) <br /> Test Equipment Used : See attached testing procedures Equipment Resolution : <br /> Tank # 87 Tank # 91 Tank # Tank # <br /> Is Tank Exempt From Testing? ' ❑ Yes ®No [j Yes ® No ❑ Yes [:1 No ❑ Yes [:1 No <br /> EMF�Tank Capacity : <br /> Tank Material : Fiberglass Fiberglass <br /> Tank Manufacturer: <br /> Product Stored : 87 Gas 91 Gas <br /> Wait time between applying <br /> pressure/vacuum/water and 15 minutes 15 minutes <br /> starting test: Ej <br /> Test Start Time : 9 : 50am 9 : OOam <br /> Initial Reading (Ri) : IOHG IOHG <br /> Test End Time : 10 : 50am 10 : 00am <br /> Final Reading (RF) : 10 HG IOHG <br /> Test Duration : 1 hour 1 hour <br /> Change in Reading (RF-RI) : 0 0 <br /> Pass/Fail Threshold or Criteria: 0. 00 0 .00 <br /> Test Result: ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Was sensor removed for testing? ❑ Yes ®No [:INA ❑ Yes ®No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and ❑Yes ❑No ®NA ❑Yes QNo ®NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> verified functional after testing? <br /> Comments — (include information on repairs made prior to testing, and reconiniended follo1v-ap for failed tests) <br /> i <br /> ILI <br /> - 14 <br /> I <br /> y <br /> r <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 />