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Page of <br /> SWRCB,January 2002 <br /> S. FILL RISER CONTAINMENT SUMP TESTING <br /> F,,ilityis Not Equipped With Pill Riser Containment Sumps <br /> _ Fill Riser Containment Sumps.are Present,but were Not Tested ❑ <br /> Test eveloped By: D Sump Manufacturer ❑Industry Standard 5,.10na1-En <br /> Test Method Used: P�surz- um ❑Hydrostatic <br /> ❑Other(Spec) - <br /> xsf Equipment Used: Equipment Resolution: <br /> EMEMill Sum # Fill Sum # Fill Sump# Fill Sum # j <br /> Sump Diameter: <br /> Sump Depth: <br /> Height from Tank Top to Top of <br /> Hi est Pi in Penetration: <br /> HeipJtt from Tank Top to Lowest <br /> Electrical Penetration: r , <br /> Condition of sump prior to r <br /> testin': <br /> WJ <br /> Portion of Sump Tested <br /> SLujnD Material: <br /> Wait time between applying <br /> pressurdvacuum/water and <br /> startin test: <br /> Test Start Time: <br /> Initial Reading(111): <br /> Test End Time: <br /> Final Reading R <br /> Test Duration: <br /> Chan a isReading <br /> Pass/Fad Threshold or Critena - <br /> ,. <br /> 'TeStoSnlY',`, D TBss L1I#au mays . t3'Fail Q'. <br /> Is there a sensor in the sump? ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> Does the sensor alarm <br /> either product or water is when ❑Yes ❑No A ❑Yes ONO DNA ❑Yes ONO ❑NAes ONO DNA <br /> detected? <br /> Was sensor removed for testing? ❑Yes o ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Xes No.DNA <br /> Was sensor properly replaced and ❑ s ❑No ❑NA ❑Yes ONO ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No <br /> verified functional atter testing? <br /> Comments (Include Information on repairs made prior to testing and recommended follow-up forfalled tests) <br />