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» S%V' CB, January 2002 FINAL DRAFT Page 6 of 7 <br /> _ 8. FILL RISER CONTALNITEENT SLIP TESTILN G <br /> Facility is Not Equipped til ich Fill Riser Containment Sump(s) .❑ <br /> Fill Riser Containment Surops are Pres:nt,but were 'of Tested ❑ <br /> Test i`lethod Developed By: ❑ Sump Mar.sFac-curer ❑ Indus,rN'St2ndard ❑ Prof ssional Engin 5.r <br /> r7 r <br /> I Tess l t}Iod L ed: _ ❑ Pressure _-- ❑ Vacu r: ❑ l:'.d erratic ---- -- - "—j <br /> ❑ Other(Speci v i <br /> Tcst Equipment L;scd: ( Equipment Resolution: <br /> Fill Sump Fill Sump = Fill Sump= I Fill Sump m <br /> Sump Diameter: <br /> Sump Depth: <br /> Height from Tara:Top to Top of <br /> Highest Piping Penetration: <br /> 1 Hei�_ht from Tank-Top to Lowest <br /> Electrical Pe-c-,ra_i3n: I t <br /> Conuicic.ni ul sump prcol to <br /> testing: <br /> Portion of Sump Tested <br /> Sump Material: <br /> 1 <br /> Wait time bet��een applying <br /> pressure/vacuum.'%v .,, and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading (R;i: - s <br /> Test End Time: <br /> t Final Reading (R): <br /> Test Duration: <br /> Change in Readi R Iq i <br /> Pass-Tail Thresho?4 or Criteria: <br /> Test Result ❑Pass IFail ❑Pass _Fail I "Pass ElFall I ,_,Pass IF.ail k <br /> i Is there a sensor In LI,-Sump? i lI t es ❑No I ❑Yes I INe i []Yes LINo j Yes ❑`:o d <br /> Does the sensor a!-.—m when <br /> either product or "a:er is Oh-es❑tioti.z ❑Yes ❑Ne[INA []Yes❑No❑NA ❑Yes ❑to [INA ' <br /> detected? <br /> 1 Was sensor remo%ed for testing? -I-LI1:_ No LJtiA j Yes Lj No; IIIA I LjYes Lj o LINA I LiYes ONo NA <br /> as sensor proper i, replaced and ` <br /> 1 �eritied functional after testin�? i ❑�-es ❑No ❑NA 1 EI Yes ❑tic❑�':� OYes ONO[:INA ❑Yes ❑No [JNA <br /> Co ni tIl PTI B — /i j' i/rj?r»lA'0r. C' ?c::rS/IiC�? ri�" !O !� t177 , end r=�� TI:?' v r 1_• <br /> _— — s r.•1 •d_d fot:o:.-!!p f. f ii._d tests. <br /> .y <br />