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@welFN9ivC4 <br /> 0///F <br /> Page 6 of 8 <br /> 8. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sumps ❑ <br /> Fill Riser Contalnment Sumps are Present,but were Not Tested ❑ <br /> Test Method Developed By: El Sump Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> ❑ Other(Specify) <br /> Test Method Used: ❑Pressure El Vacuum El Hydrostatic <br /> Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> Fill Sump # Fill Sump # Fill Sump # Fill Sump # <br /> Sump Diameter: <br /> Sump Depth: <br /> Height from Tank Top to Top of <br /> Highest Piping Penetration: <br /> Height from Tank Top to Lowest <br /> Electrical Penetration: <br /> Condition of surnn prior to testing: <br /> Portion of Sump Tested <br /> Sump Material: <br /> Wait time between applying <br /> pressurelvacuumlwater and starting <br /> test: <br /> Test Start Time: <br /> Initial Reading(Ri): <br /> Test End Time: <br /> Final Readin RF <br /> Test Duration: <br /> Change in Reading(RF-Ri): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: L) Pass L) Fail ❑ pass 0 Fail ❑ pass ❑ Faii ZeNo <br /> Fail <br /> I5 there a sen54r In the sump? ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No o <br /> Does the sensor alarm when either p Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA ❑ NA <br /> product or water is detected? <br /> Was sensor removed for testing? ❑Yes ❑ No ❑ NA ❑Yes ❑ No a NA ❑Yes L) No ❑ NAII NAafter ❑Yes ❑ No NA ❑ Yes ❑ No ❑ NA ❑Yes 0 No ❑ NA ❑ NA <br /> testin ? <br /> Comments—(include information on repairs made prior to testing,and recommended follow-up for failed tests <br />