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SWRCB, January 2002 <br />a 1 l- : bio I OIN04395 r 11 Z <br />Page of 0 <br />Facili is Not ed With Fill Riser Containment Sums U <br />Fill Riser Containment S4mps are Present, but were Not Tested <br />Teo Method Developed By: U Sump Manufacturer U Industry Standard U Professional Engineer 77 <br />U er (,spec ) <br />, <br />Test'Method Used; U Pressure U Vacumn U Hydzostatie <br />U Other g�cJr) <br />iJSCd: Equipareut Resolution <br />Fill Sum # Fill Sum # Fill Sum # �' Fill Sum # <br />#SAat2bCt=I <br />Sump <br />Height from Tank Top to TopW <br />r <br />! i est Pim Pmt- tiou- <br />�r , <br />Height from Tank Top io Lowest <br />Electrical Penetratidn: <br />Condition. of sump prior to <br />testing: <br />ortion of Sump Tested <br />Material: <br />Wait time between applying <br />pressusehacuumlwater and <br />starting test: <br />Test Start Time: <br />Initial.'Reidin I <br />Test End Time: <br />inaf lteadin ,�' <br />Test Duration: e <br />R,me in ES4!M -R <br />Pass/Fail Threshold'or Criteria.,/ <br />is flute a ? U Yes U No <br />U Yes U No U Yes U N <br />U Yes No <br />Does the sensoi al In <br />either product or er is U Yes U No U NA <br />U Yes U No U NA U Yes U No U NA <br />Yes U No UNA <br />detected? <br />Was sensor remoy4for testing? U Yes U No U NA <br />U Yes U No U NA U Yes U No U NA <br />U Yes No U NA. <br />Was scdsor properly replaced and U Yes U No U NA <br />verified fimetional after testing? <br />U Yes U Nd U NA U Yes U No U NA <br />U Yes U No L1 NA <br />Comments — (include information on repairs made prier ro re-Ww and recommended fbflow .4 orfiled rests) <br />