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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 Engincer <br />❑ Other (Specie) <br />Test Method Used: ❑ Pressure ❑ Vacuum ® Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: See attached testing procedures Equipment Resolution: Inches <br />Fill Sump # 87 <br />Fill Sump # 91 <br />Fill Sump # <br />Fill Sump # <br />Sump Diameter: <br />48" <br />48" <br />Sump Depth: <br />ss' <br />69" <br />Height from Tank Top to Top of <br />Highest Piping Penetration: <br />14" <br />14" <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />25" <br />25" <br />Condition of sump prior to <br />testing: <br />Fair <br />Fair <br />Portion of Sump Tested <br />4" Above highest penetration <br />4" Above highest penetration <br />Sump Material: <br />Fiberglass <br />Fiberglass <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />15 minutes <br />15 minutes <br />Test Start Time: <br />10:19am <br />10:41am <br />Initial Reading (Rt): <br />3.49933 Inches <br />2.35833 Inches <br />Inches <br />Inches <br />Test End Time: <br />10:34am <br />10:56am <br />Final Reading (RF): <br />3.49905 Inches <br />2.35899 Inches <br />Inches <br />Inches <br />Test Duration: <br />15 minutes <br />15 minutes <br />Change in Reading (RF -Rt): <br />0.00028 <br />0.00066 <br />Pass/Fail Threshold or Criteria: <br />0.002 <br />0.002 <br />Test Result: <br />0 Pass ❑ Fail <br />0 Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />Is there a sensor in the sump? <br />0 Yes ❑ No <br />Z Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />Does the sensor alarm when <br />either product or water is <br />detected? <br />0 Yes ❑ No ❑ NA <br />11 Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Was sensor removed for testing? <br />El Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />© Yes ❑ No ❑ NA <br />p Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />