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SWRCB, January 2002 • <br /> Page_Of <br /> S. FILL RISER CONTAINMENT SUMP TESTING <br /> Facilq is Not Equipped With Fill Riser Containment Sums ❑ <br /> Fill Riser Containment Sumps are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑Sump Manufacturer ❑hidustn Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum ❑Hydrostatic <br /> ❑Other(Speq& <br /> Test Equipment Used: Equipment Resolution: <br /> Sam Diameter: <br /> Fill Sump# Fill Sump# Fill Sump# Fill Sump#. <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 appt htg _ <br /> pressure/wacuumAwater and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(RI): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-RI): <br /> Pass/Fad Threshold or Criteria: <br /> Test Result: ❑ ss ❑Fail ❑ pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail <br /> Is there a sensor in the sump'? Yes ❑No ❑Yes 11 No ❑Yes ❑No ❑Yes ❑No <br /> Does the sensor akvm when <br /> either product or water is ❑Yes 0 N 0 N []Yes ONO DNA ❑Yes ❑No DNA ❑Yes ❑No [INA <br /> detected? <br /> Was sensor removed for testing'? ❑Yes ❑No ❑NA I ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and <br /> cerifred functional after testing'? ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Comments—(include information on repairs made prior to testing and recommended follow upfor jailed tests) <br />