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SWRCB,January 2002 Page a of 1 <br /> S. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sum s <br /> Fill Riser Containment Sumps are Present,but were Not Tested U <br /> Method Developed By: U Sump Manufacturer U Industry Standard U Professional Engineer <br /> U Other(Sped) <br /> Test M Used: U Pressure U Vacuum U Hydrostati <br /> liclq <br /> U ether(Specim <br /> Test Equipment Us Equipruent ution: <br /> c <br /> Fill Sum # Fill Sum # Fill S # Fill Sum # <br /> _ Su Diameter. <br /> 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 Sum Tested ,, <br /> Sump Material: <br /> Wart 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 I . <br /> Pass/Fail Threshold Critffia: <br /> s' <br /> Is there a the su ? U Yes U No U Yes U No U Yes` U No U Yes U No <br /> Does the r alarm when U yes U Na U NA <br /> either pro <br /> ct or water is U Yes U No U NA U Yes U No U NA es U No U NA <br /> detected <br /> Wass sor removed for testing? U Yes U No U NA U Yes U No U NA U Yes U No U NA U YesNo U NA <br /> WA sensor properly replaced and U Yes U No <br /> v 'fled functional after testing? U NA U yes U No U NA U Yes U No U NA U Yes U No NA <br /> Comments—(include information on repairs made prior to testing and recommended(ollon,,up for failed tests) <br />