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SWRCB,January 2002 • • <br /> Page of <br /> S. FILI.RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sumps C <br /> Fill Riser Containment Sumps are Present,but were Not Tested U <br /> Test Method Developed By: ❑Sump Manufacturer n ladustryStandard ❑Professional Engineer <br /> ❑Other(Specify) <br /> Test Method Used: L,Pressure C Vacuum i Hydrostatic <br /> ❑Odm(Spec1y) '( <br /> Teat Fguq meat Used: Equipment Resolution: �1 <br /> FBI Sump# Fill Sump# Fill Sump# I FlWump # <br /> S Diameter. <br /> S the <br /> Height from Tank 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 /> testin : <br /> Portion of Surnp Tested <br /> Sump Material: <br /> Wait time between applying <br /> ptessurdvacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Readi r): <br /> Test End Time: <br /> Final Reading <br /> Test Duration: .. <br /> ChanLe in Reading(RF-R : <br /> Pass/Fail Threshold or Criteria: <br /> Test Rteasilt: ❑ Paa ❑F D Pass tI FaU ❑ Pan 11 Fen ❑ Pus ❑Fall <br /> Is there a sensor in the sump? ❑yes flN6 jYes D No 11 Yes ❑No it Yes 1-1 No <br /> Does the sensor alarm when <br /> either product or water is IIYes UN fl NA ItYes ; :No UNA ❑Yes ".No CNA CYes UNo UNA <br /> detected? <br /> Was sensor removed for testing? fl Yes o C NA 0e tl No fl NA ❑Yes ❑No UNA ❑Yes I,NO ❑NA <br /> Was sensor properly replaced and <br /> verified functional after testing? ❑Yes ❑No f..l NA I!Yes !:No I I NA : Yea 'No ❑NA U Ya I i No [7 NA <br /> COd MCRtS— (include infomation onoeparrs made prior to testing, and recommended ollow-up jorjailed tests) <br />