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SWRCB, January 2002 8. FILL RISER CONTAINMENT SUMP TESTING Page of Facility is Not Equipped With Fill Riser Containment Sumps X Fill Riser Containment Sumps are Present, but were Not Tested Test Method Developed By: ❑ Sump Manufacturer ❑ Other (Spec) ❑ Industry Standard Professional Engineer Test Method Used: ❑ Pressure ❑ Other (Spec) ❑ Vacuum Hydrostatic Test Equipment Used: Sump Diameter: Fill Sump # Fill Sump # Equipment Resolution: Fill Sump # Fill Sump # Sump Depth: Height from Tank Top to Top of Highest Piping Penetration: Height from Tank Top to Lowest Electrical Penetration: Condition of sump prior to testing: Portion of Sump Tested Sump Material: Wait time between applying water and starting test: Test Start Time: Initial Reading (RI): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF -RI): Pass/Fail Threshold or Criteria: Test Result: Pass D Fait Pass C7 Fail Pass ❑ Fail 0 Pass ❑ Fail Is there a sensor in the sump? Yes ❑ No Yes ❑ No Yes ❑ No ❑ Yes ❑ No Does the sensor alarm when either product or water is detected? Yes ❑ No ❑ NA Yes ❑ No ❑ NA Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Was sensor removed for testing? Yes ❑ No ❑ NA Yes 11 No 11 NA Yes ❑ No ❑ NA ❑ Yes ❑ No [INA Was sensor properly replaced and verified functional after testing? yes El No 11 NA Yes ❑ No ❑ NA Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests)