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FROM :Donlee pump co. <br />a� J1�'RC6,1itklUitrl 2002 <br />FAX NO. :2095379398 <br />G. PIPING SUNIP TESTING <br />ug. 29 2005 09:13AM PS <br />Pagc _�_ of <br />Test Niethod Developed By: 0 Sump Manufacturer 0 Industry Standard d Professional Engineer <br />0 Other (Spec fi) <br />Tcst Ntediod Used: Cl Pressure 0 Vacuum 0 Hydrostatic <br />0 Other (Specify) <br />Test Equipment Used: <br />Equipment Resolution: <br />Er <br />SumJt # s <br />Sump # UNe— <br />Sump Al ; <br />Sump # <br />Stomp Diameter: <br />j Sump Depth: <br />�' <br />, <br />Sutnp !Material: <br />6A S S <br />Hcight from Tank Top to Top of <br />„ <br />' <br />Highest Piping Penetration: <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />S_ <br />Condition of sump prior to testing: <br />1 <br />Portion of Sump Tested' <br />I Docs turbine shut down when <br />:amp sensor detects liquid (both <br />Yes W No Z NA <br />i/ycs 0 No —j NA <br />Les C No G NA <br />0 Y s C No CNA <br />I nreduct and witcr)f <br />Turbine shutdown response time <br />i I; System progranuned for fail -sale <br />�9'es E No a NAI <br />2/Yes <br />es <br />hutdou n? <br />E:No _7 NA <br />� DYC No C NAI <br />C Yes 0 No r N: � <br />Was fail-safe_ �•etiGed lobe <br />operational? <br />,�'es 2 No C NA <br />�� // <br />Yes 0 No - NA ( <br />�� <br />i,'t'es No G NA <br />C Yes C No C NA <br />F Wait thio between apply;np <br />E pressurelvacuuni/wilter and starting <br />T,st Start Time: <br />Initial Reading (R): <br />1 Test End Time: <br />' Final Reading (RF): <br />i Tc;t Duration: <br />i <br />'Change in Reading (RF -Rt): <br />j Piss/Fail Threshold or Criteria: <br />Test Result t`~ ` <br />:17: Pass :►il <br />0 Pass d ail <br />1 Pass . L1 Fail .'1 <br />Pass > !� Fail <br />tit as sensor remo� ed for testing? <br />es 0 No 0 NA <br />es C No E NA <br />0 Yes C No G NA <br />0 Yes 0 No 0 NA <br />"',is sensor properh' replaced raid <br />0 No 0 NA <br />crificd functional :titer testing? <br />es <br />E/Ycs G No G NA <br />G Yes 0 No Ci NA <br />G Yes D No © NAµ <br />Co titnlettts — (include in(orrrtation ort repairs tnacle prior to te.vtAMcl. nttd recoriunendedfollviv-up,ror failed tesre) <br />11'01e entire depth of tite sutttp is not tested, specify how imich was tested. if ilio answer to am of the questions indicated with an <br />zq, r6sk (*) is "NO" or "NA", the enure sump nttisl Uc tesled. (Sce SWRCB LG -l60) <br />