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S WRC8, January 2002 <br />S. FILL RISER CONTAINMENT SUMP TESTING <br />r •vs. <br />I <br />Page of I <br />Facility is Not Equipged With Fill Riser Containment Sump, 0 <br />Fill Riser Containment Sumps are Present, but were Not Tested ❑ <br />Test Method Developed By: 0 Sump Manufacturer ZIndustry Standard ❑ Professional Engineer <br />❑ Other (S cify) <br />Test Method Used: O Pressure ❑ Vacuum 21 Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: INCON TS—STS Equipment Resolution: .0001n . <br />Fill Same # Fill Sump # Flll Sump # Fill Sum # <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 />Sumj2 Material: <br />Wait time between applying pressure/vacuum/water and �js P <br />startin test: <br />Test Start Time: <br />Initial Readin (R[): <br />Test End Time: <br />Change in Reading R R,): <br />Pass/Fad Threshold or Criteria: <br />Test Result: <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />O Pass 0 Fall <br />Is there a sensor in the sump? <br />0 Yes Cl No <br />0 Yes O No <br />❑ Yes ❑ No <br />D Yes ❑ No <br />Does the sensor alarm when <br />either product or water is <br />detected? <br />O Yes ❑ No 0 NA <br />D Yes 0 No 0 NA <br />❑ Yes O No ❑ NA <br />0 Yes O No O NA <br />Was sensor removed for testing? <br />❑ Yes 0 No 0 NA <br />0 Yes 0 No O NA <br />FO -Yes ❑ No O NA <br />O Yes 0 No 0 NA <br />Was sensor properly replaced and <br />.4— <br />OYes 0 N 0 N <br />0Yes ❑No ONA <br />1 ❑Yes ONo ONA <br />❑Yes ❑No i]NA <br />COM men is — (include information on repairs made prior to lesring and recommended follow-up for failed tests) <br />^ f/ <br />