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SWRCB, January 2002 <br /> Pige L of <br /> S. FILL RISER CONTA[N,riENT SUMP TESTING <br /> Facifl is 'Jot Equipped With Fill Riser Containment Sum <br /> Fill Riser Containment Sumps are Present, but were Not Tested <br /> frst 'viethod Developed By: Sump Manufacturer Industry Standard ; Professional Engineer <br /> Other(SSpecio�,) <br /> Test Nleth'od,Used: Pressure Vacuum <br /> Other(,Specify) <br /> Hydrostatic <br /> fest Equipment Used:.. Equipment Resolution: <br /> Fill Sump !# Fill Sump# Fill S,um # Fill Sum <br /> Sum Diameter: <br /> Sump Depth: <br /> Height from rank 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 Readin (Ri): <br /> rest End gime: <br /> Final. Reading RF): <br /> Test Duration: <br /> Chan a in Readin RF-Rj): <br /> Pass/Fail Threshold Or Criteria: <br /> Test Result: � <br /> ❑ Pass 13 Fail 0 Pass 0 Fail 11 Pass FJ Fail Pass ❑ Fail <br /> Is there a senst in The sump? .1 Yes ; No Yes No Yes E No ;j-des IJ No <br /> Does the segor alarm when <br /> either pro flet or water is N Yes 11 No G NA C Yes L No NA Yes I�No ✓;NA I Yes ; <br /> detected G1 NA <br /> Was se sor removed For testing? Yes ;::No ;] NA C Yes j7 No NA L Yc's I_.No ;,NA �Y- ❑No \C:NA <br /> Was s nsor properly replaced and <br /> verified functional ager testis ? C Yes `''' No 12 NA 0 Yes to No NA IW Yes C No C NA Yes 7 No CNA <br /> Cotttrnents— (include inforinuflon on repairs wade prior 10 testing and rEcommernlcd full0w a or firiled lysis) <br />