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SWRCB,January 2002 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: ❑Sump Manufacturer ❑Industry Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum ❑Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: Equipment Resolution: <br /> ESSEEZIEM <br /> Fill Sump# Fill Sump# Fill Sump# Fill Sump# <br /> THeiig�ht�f!rom <br /> ter: <br /> Depth: <br /> Tank Top to Top of <br /> Highest Pi in 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 /> water and starting test: <br /> Test Start Time: <br /> Initial Reading(RI): <br /> Test End Time: <br /> Final Reading RF : <br /> Test Duration: <br /> Change in Reading(RF-RI): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail <br /> Is there a sensor in the sump? ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> Does the sensor alarm when <br /> either product or water is ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> detected? <br /> Was sensor removed for testing? ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No [INA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and <br /> verified functional after testin ? ❑Yes 11No 11NA ❑Yes ❑No ❑NA 11Yes 11No ❑NA ❑Yes 11No 11NA <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />