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Secondary Containment Testing Report Form - Page 3 of 5 F. Testing of Piping Sumps/Turbine Sumps ❑ N/A (No piping/turbine sumps) Test Method Developed By: ® Sump Manufacturer; ❑ Industry Standard; ❑ PE; ❑ Other (Spec): Test Method Used: [:1 Pressure; ❑ Vacuum; ® Hydrostatic; ❑ Other (Specify): Test Equipment Used: Incon TS -STS Equipment Resolution: 0.001" 7 Sump #: DSL Sump #: Sump #: Sump #: Sump Diameter (inches): 42 Sump Depth (inches): 36" Sump Material: FRP Height from Tank Top to Top of Highest Pipe Penetration (inches): 12" Height from Tank Top to Lowest Electrical Penetration (inches): 2011 Portion of Sump Tested: Bottom Half If turbine shuts down when sump sensor detects liquid, specify turbine shutdown response time. ® N/A minutes. ❑ N/A minutes. ❑ N/A minutes. ❑ N/A minutes. Wait time between applying pressure/vacuum/water and starting test: 15 minutes. minutes. minutes. 15 minutes. Test Start Date/Time: 9:24 10:04 Initial Reading (Rt): 2.542 2:466 Test End Date/Time: 9:39 10:19 Final Reading (RF): 2.454 2.465 Change in Reading (RF — Rt): 0.002 0.001 Pass/Fail Threshold or Criteria: 0.002 Test Result: ® Pass; ❑ Fail ❑ Pass; ❑ Fail ❑ Pass; ❑ Fail ❑ Pass; ❑ Fail Was leak detection sensor properly replaced and verified as functional after testing? ® Yes; ❑ No; ❑ N/A (Not Removed) ❑ Yes; ❑ No; ❑ N/A (Not Removed) ❑ Yes; ❑ No; ❑ N/A (Not Removed) ❑ Yes; ❑ No; ❑ N/A (Not Removed) G. Testing of Under -Dispenser Containment (UDC) ❑ N/A (No dispensers or no UDC) Test Method Developed By: ® UDC Manufacturer; ❑ Industry Standard; ❑ PE; ❑ Other (Specify): Test Method Used: ❑ Pressure; ❑ Vacuum; ® Hydrostatic; ❑ Other (Spec): Test Equipment Used: Incon TS -STS I Equipment Resolution: 0.001 UN -054 - 315 www.unidoes.org 02/26/02