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SVVRCB, January 2002 <br />S. FILL RISER CONTA E ENT SUMP TESTING <br />Page O of __ — <br />Facili is Not KVWith Fill Riser Containment S= s <br />Fill Riser Containment Sumps are Present, but were Not Tested U <br />est Method Developed By: U Sunsp Manufacturer U Industry Standard U Professional Engineer <br />U Other (Sped) <br />'Fest Used: U Pressure U Vacuum U Hydyostatie <br />U Other (Specify) <br />Test Equip ed: Equipment Resolloidu. <br />Fill Sume # Fill Sum # Fill Sum #-1 Fill SUMP # <br />"Diameter. ,/` <br />Height from Tank 'fop to Top of <br />Hi est Pi in 1'epeiFatior�• <br />Height from Tank Top to Lowest <br />Electrical Penetratidn: <br />Condition. of sump prior to <br />testing: <br />onion of Sum Tested <br />tilm Material: <br />Wait time between applying •'' <br />presugelvacuum/water and IX <br />starting test: <br />Test Start Time: <br />Initial—Reading <br />Test End Time: <br />Finat keadin <br />Test Duration: <br />man in Rendu -R <br />Pass/Farl TbreshoM"or Criteria <br />Emmaa, <br />Is there s sed xWbe ? U Yes U No <br />U Yes U No U Yes U No <br />NU Yes U No <br />Does the se rr alarm when U Yes U No U NA <br />either prodiSct or water is <br />U Yes U No U NA U Yet U No U NA <br />U Yes o U NA <br />detectad <br />Wrensor removed for testing:? U Yes U No U NA <br />U Yes U No U NA U Yes U No U NA <br />U Yes U No <br />as sensor properly replaced and U Yes U N'o U NA <br />' <br />U Yes U Nd U NA U Yes U No U NA <br />U Yes U No U 11�1 <br />verified funeti=} atter tes ? <br />Comments — (include information on rnpairs made Pir to testis and reeo»srtze�sded �allost�-u� forfailed tests) . <br />