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S W RCB, January 2002 Page U of 8. FILL RISER CONTAINMENT SUMP TESTING Facility is Not Equipped With Fill Riser Containment Sums ❑ Fill Riser Containment Sumps are Present, but were Not Tested ❑ Test Method Developed By: ❑Sump Manufacturer ❑ Industry Standard y Professional Engineer ❑Other(Spec) Test Method Used: ❑ Pressure ❑Vacuum ydrostatic ❑Other(Specify) Test Equipment Used: E• Cet 4,0y I Equipment Resolution: vU Z Fill Sump# Fill Sump# Z Fill Sump# Fill Sump# Sump Diameter: 2.)1 Z.)' 11 Sump Depth: ► 0 ►, Z i Height from Tank Top to Top of j,)0 ��, ►moo ��i ►� I'� r'36 P, Highest Piping Penetration: �eud-f-ru-Ac x 44�e�y t�rur► rt,�� Height from Tank Top to Loweste/ Electrical Penetration: 2 Z 2,11 Q I Condition of sump prior to rN �� testing: I tl Portion of Sump Tested w ►r'Lrvt zq Wer -er ".t 'n we4ev L,ve zo,, -Sump Material: Wait time betweenl.appying pressure/vacuum/ ater d -starting test: f v<a 4 r 5 Test Start Time: ;' LKd /z: / 5- //,'2 5— Initial Reading(111): c7 d i v U1 1 Test End Time: Final Reading(RF): v U o v l o cJ t Test Duration: 3el>-.01 ut t -1 -Change in Reading RF-R► : No o .A -- "16 Pass/Fail Threshold or Criteria: a v S,30 /-t:vi . t os' 3o ,00S 3ej r"i,h Test Result: Pass ❑Fall KPass ❑ Fail ass ❑Fail ❑ Pass Fail [s there a sensor in the sump? &Yes ❑No es ❑No es ❑No ❑Yes ANo Does the sensor alarm when / either product or water is 'Yes ❑No ❑NA �es ❑No ❑NA es ❑No ❑NA ❑Yes ❑No NA detected? Was sensor removed for testing? es ❑No ❑NA 6Yes ❑No ❑NA Yes ❑No ❑NA ❑Yes ❑No 1114A Was sensor properly replaced and ,'es ❑No ❑NA Yes ❑No ❑NA XYes ❑No ❑NA ❑Yes ❑No ❑1A verified functional after testing? [ I I I Comments— (include Information on repairs made prior to testing, and recommended follow-up for failed tests)