Laserfiche WebLink
SWRCB, January 2002 <br />C � E D <br />...a.nn n�wTm ♦ 11 " NT CIiMP TFCTIN <br />a. FILL nINEK <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 E.NVIIN VHEALT <br />❑ Other (Specify) <br />Test Method Used: ❑ Pressure ❑ Vacuum I. Hy rostanc <br />❑ Other (Spec) <br />Test Equipment Used: Equipment Resolution: <br />Fill Sump # Fill Sump # Fill Sump # I Fill Sump # <br />Sump Diameter: <br />Sump Depth: <br />Height from Tank Top to Top of <br />Highest Pi in 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 (R,): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF -R,): <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />Is there a sensor in the sump? <br />Does the sensor alarm when <br />either product or water is <br />detected? <br />Was sensor removed for testing? <br />Was sensor properly replaced and <br />verified functional after testing? <br />11 <br />Comments (include information on repairs made prior to testing and recommended follow-up for failed tests) <br />