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JUL 2 8 2014 S WRCB, January 2002 ENVIR0NM8P4'ECTH R_ Tr1.T.RTCTi',R CONTATNMTNT STIMP'r)O.STTNG DEPARTnnl=ntr Facility is Not Equipped With Fill Riser Containment Sumps ❑ Fi11.Riser Containment Sumps are Present, but were Not Tested ❑ Test Method Developed By: U Sump Manufacturer U Industry Standard X Professional Engineer ❑ Other (Spec#5�) _ Test Method Used: ❑ Pressure ❑ Vacuum X Hydrostatic ❑ Other (Spec) Test Equipment Used: TS -STS icon sump test system Equipment Resolution: tilt Sump Jt M11.Sump 9 1111 Sump # Fill Sump 0 Sump Diameter: Sump Depth: _ Height from Tank Top to Top of HihestPiping Penetration: _ Height from Tank Top to Lowest Electrical Penetration: Condition of sump prior to testing: Portion of Sump Tested Sump Material: _ Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (R : Test End Time: -- Final Reading (RF): Test Duration: 15 min 15 min 15 min 15 min Change in Reading (RF -RT): Pass/Fail Threshold or Criteria: .002 .002 .002 .002 Test Result: U Pa;s ❑ Fail a Pass O Fall ❑Pass ❑ Fall --- 0 Pugs ❑ Fall Is there a sensor in the sum 7 _._ ❑ Yes ❑ No O Yes ❑ No ❑ Yes D No ❑ Yes ❑ No Does the sensor alarm when either product or water is detected? _ ❑ Yes D No ❑ NA 11 ❑ Yes 0 N ❑NA ❑ Yes ❑No DNA ❑ Yes 0 N ❑ NA Was sensor removed for testin ? UYes ONo [INA ❑Yes ❑No ONA DYes ONn ONA OYes ❑No DNA Was sensor properly replacedand verified functional after testing? nYes 0 N 0 N ❑Yes 0 N 0 N OYes UNo DNA Dyes ONo ❑NA Comments — (include information on repairs made prim, to testing, and recor)lnrended follon,-rip for failed tests)