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S WRCB,January 2002 Page 6 of 7 <br /> S. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sumps <br /> Fill Riser Containment Sumps are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑ Sump Manufacturer ❑Industry Standard ❑Professional Engineer <br /> ❑ Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum ❑Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: INCON SUMP TESTER Equipment Resolution:0.002" <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 q <br /> Electrical Penetration: <br /> Condition of sump prior to x <br /> testing: <br /> Portion of Sump Tested <br /> Sump Material: <br /> Wait time between applying <br /> pressure/vacuum/water and ENVIR 0NNil,.E-.t T A L HEFILTH <br /> starting test: - FP,ri:7� ENT <br /> Test Start Time: <br /> Initial Reading(R,): <br /> Test End Time: <br /> Final Reading(Rr): <br /> Test Duration: <br /> Change in Reading(RF-R,): <br /> Pass/Fail Threshold or Criteria: +/.0.002" +/-0.002" +/-0.002" +/-0.002" <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 ❑ No <br /> Does the sensor alarm when <br /> either product or water is []Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA []Yes ❑No ❑NA <br /> detected? <br /> Was sensor removed for testing? ❑Yes []No ❑NA [-]Yes ❑No ❑NA ❑Yes []No ❑NA ❑Yes ❑No [-]NA <br /> Was sensor properly replaced and El Yes ❑No ❑NA El Yes ❑No ❑NA El Yes ❑No [INA El Yes El No <br /> verified functional after testin ? ❑NA <br /> Comments— (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />