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S WRCB,January 2002 Pagej jv of t <br /> S. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sums D <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 ❑Vacuumydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: '(� gl L Equipment Resolution:�ctY y "1K <br /> Fill Sump# -Su Fill Sump# Fill Sump# Fill Sump# <br /> Sump Diameter: <br /> Sump Depth: <br /> Height from Tank Top to Top of v <br /> Highest Piping Penetration: 19 Il c <br /> Height from Tank Top to Lowest r s� <br /> Electrical Penetration: 3 s� <br /> Condition of sump prior to <br /> testing: <br /> Portion of Sump Tested bJq '/ I. t <br /> Sump Material: <br /> Wait time between ing <br /> pressure/vacuUmtater d <br /> starting test. 10 " Kµ4--e S <br /> f <br /> Test Start Time: /;D 5 i <br /> e <br /> Initial Reading <br /> t <br /> Test End Time: 3-5 <br /> Final Reading(RF)-. F"_$ Ln <br /> Test Duration: ,„ j <br /> -Change in Reading (RF—RI): /J O G. <br /> Pass/Fail Threshold or Criteria: <br /> Test.R'esu1C: ass ❑F.01. <br /> D ass ❑Fa V. D: ass.: . ❑]Fa. D ass . q ail. <br /> Is there a sensor in the sump? Xes ❑No ❑ es ❑N D Yes ❑No ❑ es ❑ <br /> Does the sensor alarm when es ❑No D NA <br /> either product or water is ❑ es ❑No ❑N ❑Yes ❑No ❑N D fres ❑No D 1`iA <br /> detected? <br /> Was sensor removed for testing? Yes D No ❑NAes ❑No ❑N Yes ❑No 0 NA Q Yes ❑No ❑N <br /> 1P <br /> Was sensor properly replaced and Yes ❑No DNA /0 Yes D No DNA ❑Yes ❑No ❑NA ❑Yes D 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 />