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E <br />Secondary Containment Testing Report Form - Page 3 of 5 <br />11 <br />F. Testing of Piping Sumps/Turbine Sumps r-1 N/A (No piping/turbine sumps) <br />Test Method Developed By: El Sump Manufacturer; El Industry Standard; El PE; El Other (Specify): <br />Test Method Used: F1 Pressure: n Vacuum. n Hvdrostatic. F1 Other (Specify): I <br />Test Equipment Used: <br />Equipment Resolution: <br />Sump #: <br />Sump Diameter (inches): <br />Sump #: <br />Sump #: <br />Sump <br />Sump Depth (inches): <br />Sump Material: <br />Height from Tank Top to Top of <br />Hi est Pipe Penetration (inches): <br />Height from Tank Top to Lowest <br />Electrical Penetration (inches): <br />Portion of Sump, Tested: <br />If turbine shuts down when sump C3 NIA <br />sensor detects liquid, specify minutes. <br />turbine shutdown response time. <br />[I N/A <br />minutes. <br />[I N/A <br />minutes, <br />0 N/A <br />minutes. <br />Wait time between applying <br />pressure/vacuum/water and minutes. <br />starting test: <br />minutes. <br />minutes. <br />minutes. <br />Test Start Datefrime: <br />Initial Reading (Ri): <br />Test End Date/Time: <br />Final Reading (RF): <br />Change in Reading (RF — Rj): <br />Pass/Fail Threshold or Criteria: <br />Test Result: El Pass; F1 Fail <br />0 Pass; E]Fail <br />El Pass; El Fail <br />El Pass; El Fail <br />Was leak detection sensor ®Yes; 0 Na; <br />properly replaced testing? and verified as n NIA (Not Removed) <br />functional after <br />El Yes; El No, <br />El N/A (Not Removed) <br />El Yes; [I No; <br />❑ N/A (Not Removed) <br />El Yes; El No; <br />❑ N/A (Not Removed) <br />G. Testing of Under -Dispenser Containment (UDQ ❑ N/A (No dispensers or no UDC) <br />Test Method Developed By: El UDC Manufacturer, 19-fndustry Standard; [] PE; F] Other (Specify): <br />Test Method Used: 0 Pressure; El Vacuum; ydrostatic; F] Other (Specify): <br />Test Equipment Used: LJA4r-rL- 7,nz)e I Equipment Resolution: <br />UN45d - 3/5 www.unidocs.org <br />02a"2 <br />