Laserfiche WebLink
SRCB,January 2002 Page of <br /> . FILL RISER CONTAIINMENTS TESTING <br /> Facility is Not E ui ped With Fill Riser Containment Sumps <br /> Fill Riser Containment Sumps are Present, but were Not Tested ❑ <br /> Test Method Developed By: 0 Sump Manufacturer 0 Industry Standard 9 Professional Engineer <br /> 0 Other(Specify) <br /> Test Method Used: 0 Pressure ❑Vacuum 12 Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: Equipment Resolution: <br /> Fill Sump# Fill Sump# 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 /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(Ri): <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 eslt: ❑ Pass ❑Fail D Pass 0 Fail 0 Pass ❑Fail ❑ Pass ❑Fail <br /> Is there a sensor in the sump? ❑Yes 0 No 0 Yes ❑No 0 Yes 0 No ❑Yes 0 No <br /> Does the sensor alarm when <br /> either product or water is ❑Yes 0 No DNA 0 Yes ❑No DNA ❑Yes 0 No 0 NA 0 Yes ❑No 0 N <br /> detected? 1 11 <br /> Was sensor removed for testing? ❑Yes 0 No DNA ❑Yes 0 No ❑NA 0 Yes 0 No 0 NA 0 Yes 0 No ❑NA <br /> Was sensor properly replaced and Dyes 0 No DNA ❑Yes ❑No DNA O Yes 0 No 0 NA ❑Yes 0 No 0 NA <br /> verified functional after testin ? <br /> C 0M M eats—(include information on repairs made prior to testing and recommended follow-up for failed tests) <br />