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S WRCB,January 2002 • Page_of <br /> 8. FILL RISER CONTAM",NT SUMP TESTING <br /> Facili is Not E ui ed With Fill Riser Containment Sums ❑ <br /> Fill Riser Containment Sumps are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑Sump Manufacturer ❑Industry Standard ❑Professional Engineer <br /> ❑Other(Sped) <br /> Test Method Used: ❑Pressure ❑Vacuum ❑Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> Fill Sump# Fill Sump# Fill Sump# Fill Sump# <br /> Sum Diameter: <br /> SumDepth: <br /> Height from Tank Top to Top of <br /> Highest Piping Penetration: <br /> Height from Tank Top to Lowest <br /> Electrical Penetration: SEP 3 0 2016 <br /> Condition of sump prior to <br /> testing: <br /> Portion of Sump Tested ENVIRONM ENTAL HEALTH <br /> Sump Material: <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Readin (R): <br /> Test End Time: <br /> Final Reading F): <br /> Test Duration: <br /> Chane in Reading(RF-&T <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail <br /> Is there a sensor in the sump? ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑N]NA Does the sensor alarm when <br /> either product or water is ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑ <br /> detected? <br /> Was sensor removed for testing? ❑yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑ <br /> Was sensor properly replaced and ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑ <br /> verified functional after testing? <br /> COMMents—(include information on repairs made prior to testing, and recommended follow up for failed tests) <br />