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SWRCD, January 2002 8. FILL RISER CONTAINMENT SUMP TESTING Page 6 of Facility is Not Equipped With Fill Riser Containment Sumas Fill Riser Containment Sumps are Present, but were Not Tested U 1 Test Method Developed By: ❑ Sump Manufacturer ❑ Industry Standard U Professional Engineer / ❑ Other (Spew) Comments — (include information on repairs made prior to testing and recommended Joliow-up for failed tests) Test Me hod Used: 11 Pressure ❑ Vacuum D Hydrostatic U Other (.Sped) Test Equipmc4-(Jsed: Equipment Resolutig r.' Fill Sump # Fill Sume # Fill Sum #,-" Fill Sump # Sump Diameter: = Sump Depth: Height from Tank Top to Top of ..Highest Piping Penetration: Height from Tank Top to Lowest Electrical Penetration: ; ` Condition of sump prior to testing: Portion of Sump Tested ✓ Sump Material: '»:, Wait time between applying pressure/vacuum/water and starting test: Test Start Time: Initial Reading (111): ' Test End Time: "4 Final Reading (RF): Test Duration: Chan a in Reading (RF -Rt): Pass/Fail Threshold or riteria: Test Result: ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail" ❑ Pass ❑ Fail Is there a sensor n the sump? ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes U No ❑ Yes ❑ No Does the senor alarm when eitl- t ct or water is detecte ❑ Yes 11 No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ YeS\ ❑ No ❑ NA '� Was s nsor removed for testing? ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA O Yes ❑ No ❑ NA ❑ Yes 0 Nd •,,❑ NA Was sensor properly replaced and verified functional after testin ? ❑ Yes ❑ No 1:1NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA EJ Yes ❑ No ❑ NA Comments — (include information on repairs made prior to testing and recommended Joliow-up for failed tests)