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S WRCB,January 2002 i <br /> Page �f3 of <br /> S. FILL RISER CONTAINMENT SUMP TESTING <br /> Facili is Not E ui ed With Fill Riser Containment Sums C <br /> Fill Riser Containment Sumps are Present,but were Not Tested 0 <br /> Test Method Developed By: ❑Sump Manufacturer ❑Indus Standard <br /> Industry Professional Engineer <br /> 0 Other(Spec) <br /> Test Method Used: 0 Pressure <br /> 0 Vacuum❑Other(Spec) II <br /> ((Hydrostatic <br /> Test Equipment Used: ��� <br /> e �Ir- Equipment Resolution: <br /> Fill Sump# Fill Sum # - Fill Sum # <br /> Sum Fill Sum # /�Diameter: ��� <br /> Sump Depth: s`Z„ t► a'� <br /> r i 7 <br /> Height from Tank Top to Top of N� ��p <br /> Hi est Piping Penetration: 35-r t 3 ► <br /> Height from Tank Top to Lowest <br /> Electrical Penetration: ' 1 <br /> ►i r <br /> Condition of sump prior to <br /> testing: jJ r - <br /> Portion of Sump Tested f r i ► W�k r ".►, S" ' <br /> Sum Material: <br /> (c�s5 s5 <br /> Wait time between lying I-V <br /> pressure/vacuwater d <br /> startin test: <br /> Test Start Time: 5 1 r^t�wc ,e; t.0 T1 r,,, <br /> Initial Readin i ; �v�s+.Cy�,t� <br /> Test End Time: <br /> Final Readin (RF),, r ra5� Gc !9 FtVS Grvrr <br /> Test Duration: C VC, <br /> n�C 4es U hn i ng m ir► ><c.s <br /> Change in Readin RF-RI : N o C-(. N 0 L c� <br /> Pass/Fail Threshold or Criteria: <br /> CrC ere i Vbir n« fK 3 0►N.tn- �llt. e �� 3 0 <br /> Test Result.: pass OF il Bass. ❑Fail <br /> ass ❑Fnil Pass. q Fail <br /> Is there a sensor in the sump? WYes C No es ❑Noes 0 No <br /> Does the sensor alarm when es ❑No <br /> either product or water is KYes ❑No ❑NA �res <br /> C No ❑NA <Yes 0 No 0 NA , Yes ❑No ❑NA <br /> detected? ' <br /> Was sensor removed for testing? Yes 0 No DNA ❑No ❑NA �es ❑No 0 NA 'Yes 0 No ❑NA <br /> Was sensor properly replaced and lames ❑No ❑NA ' \ <br /> verified functional after testing? T ❑No ❑NA Yes ❑No ❑NA XYes 0 No ❑NA <br /> Corns lents-(include information on repairs made prior to testing and recommended follow up or failed tests) <br />