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SWRCB, January 2002 • <br />• Page of <br />8. FILL RISER CONTAINMENT SUMP TESTING <br />Facility is Not Equipped With Fill Riser Containment Sumps x <br />Fill Riser Containment Sumps are Present, but were Not Tested <br />Test Method Developed By: 0 Sump Manufacturer 0 Industry Standard 0 Professional Engineer <br />0 Other (Specify) <br />Test Method Used: 0 Pressure 0 Vacuum X Hydrostatic <br />0 Other (Spec) <br />Test Equipment Used: UST 2001 probes or Air Bellows gauging system Equipment Resolution: 0.001 " / 0.005" <br />Fill Sump # Fill Sump # Fill Sump # Fill Sump # <br />Sump Diameter: <br />Sump, 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 Sump Tested <br />Sump Material: <br />Wait time between applying <br />pressure/vacuum/water and 30 mins <br />starting test: <br />30 mins <br />30 mins <br />Test Start Time: <br />Initial Reading (Ri): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: 30 mins <br />30 mins <br />30 mins <br />Change in Reading (RF -RI): <br />Pass/Fail Threshold or Criteria: <br />Test Result: 0 Pass 0 Fail <br />0 Pass Q Fail <br />0 Pass 0 Fail <br />0 Pass 0 Fail <br />Is there a sensor in the sump? 0 Yes 0 No <br />0 Yes 0 No <br />0 Yes 0 No <br />0 Yes 0 No <br />Does the sensor alarm when <br />either product or water is 0 Yes 0 No 0 NA <br />detected? <br />0 Yes 0 No 0 NA <br />0 Yes 0 No 0 NA <br />0 Yes 0 No 0 NA <br />Was sensor removed for testing? 0 Yes 0 No 0 NA <br />0 Yes 0 No 0 NA <br />0 Yes 0 No 0 NA <br />0 Yes 0 No 0 NA <br />Was sensor properly replaced and 0 Yes 0 No 0 NA <br />verified functional after testing? <br />0 Yes 0 No 0 NA <br />0 Yes 0 No 0 NA <br />0 Yes 0 No 0 NA <br />1 11 <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />Not Equipped <br />