Laserfiche WebLink
R I <br /> ECEIVED <br /> SF P i0 VO <br /> Elite IV Contractors Page l of 2 <br /> VI �iONMENTAL. HEALTH <br /> 4. TANK ANNULAR TEST a <br /> Test Method Developed By: x Tank Manufacturer Industry Stand irlF r f s' ional Engineer <br /> Other (Spec) <br /> Test Method Used : x Pressure Vacuum Hydrostatic <br /> Other (Spec) <br /> Test Equipment Used: Test Gauge Equipment Resolution: <br /> i Tank # Tank #(/ Q Tank # Tank # <br /> Is Tank Exempt From Testing? ' Yes No Yes No Yes No Yes No <br /> Tank Capacity: w <br /> Tank Material: <br /> Tank Manufacturer: <br /> Product Stored: <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> . starting test: <br /> Test Start Time: loam 11 : 10am <br /> Initial Reading (Rj): 1 112PSI 1 1 /2PS1 <br /> Test End Time: I lam 12 : 10am <br /> Final Reading (RF) : 1 1 /2PSI I 1 /2PSI <br /> Test Duration : 60min 60min <br /> Change in Reading (RF-R,) : 0 0 <br /> Pass/Fail Threshold or Criteria : Pass Pass <br /> Test Result , X Pass 0 Fail X Pass 0 Fail 0 Pass 0 Fail 0 Pass 0 Fail <br /> Was sensor removed for testing? X Yes No NA X Yes No NA Yes No NA Yes No NA <br /> Was sensor properly replaced and X Yes No NA X Yes No NA Yes No NA Yes No NA <br /> verified functional after testing? <br /> Comments — (include information on repairs n►ade prior to testing, and recommended follow-up forfailed 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 />