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S WRCS,January 2002 Page a of <br /> S. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipeed With Fill Riser Containment Sums ❑ <br /> Fill ILiser Containment Sumps are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑Sump Manufacnuer ❑Industry Standard Professional Engineer <br /> ❑Other(SpeciA) <br /> Test Method Used: ❑Pressure ❑Vacuum `Q,HYdrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> ,....,., ..:,.. . ooL,f <br /> � 2 . . . , <br /> W r , Fill Sum # um +� <br /> ....,.:, <br /> Fill Sump# <br /> Sump Diameter: <br /> Sump Depth: <br /> Yxj u " <br /> Height from Tank Top to Top of t r tr <br /> Hi est Piping Penetration: IG <br /> Height from Tank Top to Lowest <br /> Electrical Penetration: <br /> Condition of sump prior to <br /> testing: <br /> Portion of Sump Tested wa+er Lo.a a 4 r " Wl X4 ,-u <br /> Sump Material: fel v sS r: <br /> Wait time betweenlying <br /> pressurelvacu war and <br /> startingtest: 10 r7;,,w 1 r S 10 <br /> Test Start Time: S ' 3 J '2.0 <br /> Initial Reading (R,): n-s+Cn o!p -"'s-F C,vc <br /> Test End Time: 4 ' o v 'I! 50 <br /> Final Reading(RF): 'rvs-><-CtiC60 -/v C,rcfe <br /> Test Duration: D r•r��...r 4Y ;- ` <br /> Change in Reading(RF-P,): '06 6 Cz'.r <br /> Pass/Fail Threshold or Criteria •.Oa - "y , r l"r <br /> Test Result: X Pass ❑Fall Pass ❑Fall ❑ P as Fail ❑ P ss ❑Fail <br /> Is there a sensor in the sump? es ❑No es ❑No ❑ es No ❑ es ❑No <br /> Does the sensor alarm when A!rYes ❑No ❑NA <br /> either product or water is es ❑No ❑NA ❑Y ❑No NA ❑Y ❑N ❑NA <br /> detected? <br /> Was sensor removed for testing? es 0N 0N es No ❑NA ❑ es ❑No A ❑ es ❑No NA <br /> Was sensor property replaced and es ❑No [INA es ONO DNA ❑Yes ONO ❑N Yes ❑No ❑ <br /> verified functional after testing? <br /> Comments (include information on repairs made prior to testing and recommended follow-upforfailed tests) _ <br />