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Secondary Containment Testing Report Form-Page 3 of 5 <br /> F. Testing of Piping Sumps/Turbine Sumps Q N/A(No piping/turbine sumps) <br /> Test Method Developed By: Q Sump Manufacturer;Q Industry Standard;Q PE;Q Other(Spec): <br /> Test Method Used: Q Pressure; ❑Vacuum; Q Hydrostatic; Q Other(Specify): <br /> Test Equipment Used: Equipment Resolution: <br /> Sump#: Sump#: Sump#: Sump#: <br /> Sump Diameter(inches): <br /> Sump Depth(inches): <br /> Sump Material: <br /> Height from Tank Top to Top of <br /> Highest 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 n N/A ❑N/A ❑N/A ❑N/A <br /> sensor detects liquid,specify <br /> minutes. •minutes. minutes. minutes. <br /> turbine shutdown response time. <br /> Wait time between applying <br /> pressure/vacuum/water and minutes. minutes. minutes. minutes. <br /> starting test: <br /> Test Start Date/Time: <br /> Initial Reading(Rt): <br /> Test End Date/Time: <br /> Final Reading(RF): <br /> Change in Reading(RF—Rt): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: Q Pass; Q Fail Q Pass; Q Fail Q Pass; Q Fail Q Pass; ❑Fail <br /> LWac, eak detection sensorrly replaced and verified as Q Yes;❑No; ❑Yes;❑No; ❑Yes;[]No; ❑Yes;❑No; <br /> onal after testin ? ❑N/A(Not Removed) Q N/A(Not Removed) ❑N/A(Not Removed) ❑N/A(Not Removed) <br /> G. Testing of Under-Dispenser Containment (UDC) ❑N/A(No dispensers or no UDC) <br /> Test Method Developed By: Q UDC Manufacturer;Q Industry Standard;Q PE;Q Other(Specify): <br /> Test Method Used: Q Pressure; Q Vacuum; Q Hydrostatic; Q Other(Spec): <br /> Test Equipment Used: Equipment Resolution: <br /> UN-054-3/5 www.unidoes.org 02/26/02 <br />