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AUG 12 2013 <br />S W RCB, January 2002 ENV Pae b <br />8. FILL RISER CONTAINMENT STJMP TESTING IT <br />Facility is Not Equipped With Fill Riser Containment Sumps <br />X <br />Fill Riser Containment Sumps are Present, but were Not Tested ❑ <br />Test Method Developed By: <br />❑ Sump Manufacturer <br />❑ Other (Spec) <br />E Industry Standard _] Professional Engineer <br />Test Method Used: <br />❑ Pressure <br />❑ Other (Specify) <br />❑ Vacuum <br />- Hydrostatic <br />Test Equipment Used: <br />Fill Sump # <br />Fill Sump # <br />Equipment Resolution: <br />Fill Sump# Fill Sump # <br />Sump Diameter: <br />Sump Depth: <br />Height from Tank 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 />water and starting test: <br />Test Start Time: <br />Initial Reading (111): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF-Ri): <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail ❑ Pass ❑ Fail <br />Is there a sensor in the sump? <br />� Yes -1 No <br />❑ Yes ❑ No <br />❑ Yes ❑ No Yes No <br />Does the sensor alarm when <br />either product or water is <br />detected? <br />7 Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA I Yes ❑ No ❑ NA <br />Was sensor removed for testing? <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA❑ <br />Yes ❑ No ❑ NA El ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA ❑ Yes 11 No El NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />