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SWRCB,January 2002 Page_6_of—7— <br /> S. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sumps <br /> Fill Riser Containment Sumps are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑ Sump Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> ` ❑ Other(Spec) <br /> Test Method Used: ❑Pressure ❑ Vacuum ❑Hydrostatic <br /> ❑ Other(Spec) <br /> Test Equipment Used: Equipment Resolution: <br /> ImFill 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 Result: ❑Pass ❑ Fail ❑Pass ❑Fail ❑Pass El Fail ❑Pass ❑Fail <br /> Is there a sensor in the sump? ❑Yes ❑No ❑Yes ❑ No ❑ Yes ❑ No ❑Yes ❑No <br /> Does the sensor alarm when <br /> either product or water is ❑Yes ❑No ❑NA ❑Yes [--]No ❑NA ❑Yes [:]No ❑NA ❑Yes [-]No ❑NA <br /> detected? <br /> Was sensor removed for testing? ❑Yes ❑No [INA ❑Yes [:]No ❑NA ❑Yes ❑No [:INA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and <br /> verified functional after testing? <br /> El Yes F-1No F-1NA El Yes ❑No [INA ❑Yes ❑No [:]NA ❑Yes [I No El NA <br /> Comments— (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />