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SWRCB,January 2002 Page_of <br /> 10. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sumps X <br /> Fill Riser Containment Sumps are Present,but were Not Tested <br /> Test Method Developed By: ❑Sump Manufacturer ❑Industry Standard ❑Professional Engineer <br /> ❑Other(Specify) <br /> Test Method Used: ❑Pressure ❑Vacuum I I Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> Fill Sump# Fill Sump# Fill Sump# Ffll Sump# <br /> SL[inp Diameter: <br /> Sump Depth: <br /> Height from Tank Top to Top of <br /> Hi hest 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 Rr-Ra): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: ❑Pass ❑1 Fail ❑Pass ❑Fail ❑Pass d Fail ❑ Pass E]Fail <br /> Is there a sensor in the sump? ❑Yes ❑No Cl Yes ❑No ❑Yes 1-1 No Yes ❑No <br /> Does the sensor alarm when <br /> either product or water is ❑Yes ❑No ❑NA []Yes ❑No ❑NA ❑Yes ❑No ❑NA I Yes -]No iJ NA <br /> detected? <br /> Was sensor removed for testing? ❑Yes ❑No ❑NA ❑Yes 0N El NA O Yes ❑No [INA .!Yes ❑No ❑NA <br /> Was sensor properly replaced and ❑Yes ❑No ❑NA ❑Yes []No ❑NA ❑Yes ❑No ❑NA ❑Yes ENO ❑NA <br /> verified functional after testing? <br /> Comments—(include information on repairs made prior to testing, and recommended ollow-up or ailed tests) <br />