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SWRCB,January 2002 Page 7 of 8 <br /> S. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sums U <br /> Fill Riser Containment Sumps are Present,but were Not Tested U <br /> Test Method Developed By: U Sump Manufacturer U Industry Standard U Professional Engineer <br /> U Other(Specify) <br /> Test Method Used: U Pressure U Vacuum U Hydrostatic <br /> U Other(Spec) <br /> Test Equipment Used: Equipment Resolution: <br /> Fill Sump# Fill Sump# Fill Sump# Fill Sump# <br /> Sump Diameter: <br /> Sump Depth: <br /> Height from Tank Top to Top of <br /> Highest 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 /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(R,): <br /> Test End Time: <br /> Final Reading(R,): <br /> Test Duration: <br /> Chane in Reading R,R,): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: U Pass U Fail U Pass U Fail U Pass U Fail U Pass U Fail <br /> Is there a sensor in the sump? U Yes U No U Yes U No U Yes U No U Yes U No <br /> Does the sensor alarm when U Yes U No U NA <br /> either product or water is U Yes U No U NA U Yes U No U NA U Yes U No U NA <br /> detected? <br /> Was sensor removed,for testing') U Yes U No U NA U Yes U No U NA U Yes U No U NA U Yes U No U NA <br /> Was sensor properly replaced and UYes U No U NA <br /> verified functional after testing': U Yes U No U NA U Yes U No U NA U Yes U No U NA <br /> COMMelltS—(include information on repairs made prior to testing,and recommended follow-up forfailed tests) <br />