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SWRCB,January 2002 <br /> S. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sums ❑X <br /> Fill Riser Containment Sumps are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑Sump Manufacturer ❑I udustr� Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum ❑Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: Equipment Resolution: <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 <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 /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(RI): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-RI): <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 El No El Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> Does the sensor alarm when ❑}es N❑ o ❑NA <br /> either product or water is ❑Yes❑No❑NA ❑Yes❑No❑NA ❑Yes❑No ❑N:1 <br /> detected? <br /> Was sensor removed for testing? [—]Yes ❑No [—]NA ❑Yes❑No❑NA ❑Yes❑No❑NA ❑Y'es❑No❑NA <br /> Was sensor properly replaced and ❑Yes ❑No ❑NA <br /> verified functional after testing? �1:1N'es[-1NoE:1NA ❑Yes❑No❑NA ❑Yes❑No ❑N.� <br /> Comments— (include information on repairs made prior,to testing, and recommended follow-up for failed tests) <br />