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SWRCB, January 2002 Page of <br /> 7. 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 Engineer <br /> ❑ Other(Specify) <br /> Test Method Used: ❑Pressure ❑ Vacuum ❑Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> r. )f _ _ ,..» .. _ _ :_:.„ ,'i+,+" . Y..d < -:M:' ,:Y : _'K . •_it F'._'. ;i. ;'.'.F3o' .f.'..G,':...: <br /> _i Fill Sump it Fill Sump# Fill Sump# Fill Sump# <br /> Sump Diameter: <br /> Sump Depth: <br /> Height from Tanis 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 ): <br /> Test End Time: ' <br /> Final Reading(RF).- <br /> Test <br /> RF):Test Duration: <br /> Change in (RF-R4): <br /> Pass/Fail Threshold or Criteria: <br /> )lest ResuR.. Q. Vass Q Earl' PawCJTasI ❑ Pass 1 I"Fail ©.Pass fl Faz1 . <br /> Is there a sensor in the sump? ❑Yes ❑No ❑Yes ❑No ❑Yes 0 No Q Yes ❑No <br /> Does the sensor alarm when <br /> either product or water is ❑Yes 0 No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No DNA ❑Yes ❑No DNA <br /> detected? <br /> Was sensor removed for testing? ❑Yes ❑No ❑NA Q Yes ❑No ❑NA ❑Yes ❑No ❑NA E.Yes ❑No ❑NA <br /> Was sensor properly replaced and ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> verified functional'after testing? <br /> Comments— (include information on repairs made prior to testing and recommended follow-up for failed tests) <br />