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SWRCB,January 2002 Page of <br /> S. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sumps L <br /> Fill Riser Containment Sumps are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑Sump Manufacturer k Industry Standard ❑ Professional Engineer <br /> Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum SHydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: Equipment Resolution: <br /> Fill Sump Fill Sump# Fill Sump# ! Fill Sump# <br /> Sump Diameter: <br /> Sump Depth: t� <br /> Height from Tank Top to Top of <br /> Highest Piping Penetration: Q <br /> Height from Tank Top to Lowest <br /> Electrical Penetration: `� x _ <br /> Condition of sump prior to <br /> testing: <br /> Portion of Sump Tested <br /> Sump Material: <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: ' <br /> Test Start Time: <br /> Initial Reading(Rj): j a <br /> Test End Time: <br /> Final Reading(RF): i< 0,f <br /> Test Duration: -30 <br /> Change in Reading(RF-R,): .. <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: Pass ❑Fail Pass ❑Fail ass ❑Fail ❑ Pass ❑Fail <br /> Is there a sensor in the sump? ..Yes ❑No KYes ❑No AYes ❑No ❑Yes ❑No <br /> Does the sensor alarm when <br /> either product or water is ❑Yes ❑No 'V NA ❑Yes ❑No PiLNA ❑Yes ❑No "A ❑Yes ❑No ❑NA <br /> detected? <br /> Was sensor removed for testing? Axes ❑No ❑NA VYes ❑No ❑NA AYes. ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and %Yes ❑No ❑NA PYes ❑No ❑NA Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> verified functional after testin ? r <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />