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RECEIVED <br />SWRCB, January 2002 Page of <br />8. FILL RISER CONTAINMENT SUMP TESTING OCT 07 2013 <br />Facility is Not Equipped With Fill Riser Containment Sumps X <br />Fill Riser Containment Sumps are Present, but were Not Tested ❑ <br />Efqr <br />Test Method Developed [3y: ❑ Sump Manufacturer 7 Industry Standard ❑ ProFe*ssMFrnginee <br />❑ Other (Specie) <br />Test Method Used: ❑ Pressure ❑ Vacuum ❑ Hydrostatic <br />❑ Other (Specify) <br />"fest Equipment used: Equipment Resolution: <br />Fill Sump # <br />Fill Sump # <br />Fill Sump # <br />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 sump prior to <br />testing: <br />Portion of Sump Tested <br />Sump Material: <br />Wait time between applying <br />water and starting test: <br />Test Start Time: <br />Initial Reading (Rj): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF-Rj): <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />Is there a sensor in the sump? <br />Does the sensor alarm when <br />either product or water is <br />detected? <br />Was sensor removed for testing? <br />Was sensor properly replaced and <br />verified functional after testing? <br />Com in en is —(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />