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., <br />SWRCB, January 2002 <br />8. FILL RISER CONTAINMENT SUMP TESTING <br />Facility is Not Equipped With Fill Riser Containment Sums <br />Fill Riser Containment Sumps are Present, but were Not Tested ❑ <br />Method Developed By: ❑ Sump Manufacturer ❑ Industry Standard <br />❑ Other (Spec) <br />Test od Used: ❑ Pressure ❑ Vacuum <br />❑ Other (Specify) <br />Page /,::> of__ <br />0 Professional Engineer <br />❑ Hydrostatic <br />Test Equipment <br />Sum Diameter: �,,, <br />Fill Sump # <br />Fill Sump # <br />Equipment I ution: <br />Fill S p # Fill Sump # <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 <br />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- r : <br />Pass/Fall Threshold Criteria: <br />Tesi Resalt: <br />❑ Pass 0 Fail <br />0 Pass: 0 Fail <br />0 Passe 0 Fail <br />Pass: 0 Fail <br />Is there a sens in the sump? <br />0 Yes ❑ No <br />0 Yes ❑ No <br />0 Yes ❑ No <br />0 s ❑ No <br />Does the se or alarm when <br />either pro ct or water is <br />detecte . <br />0 Yes ❑ No ❑ NA <br />0 Yes 0 No ❑ NA <br />0 Yes ❑ No 0 NA <br />0 Yes 0 0 NA <br />Was ensor removed for testing? <br />❑ Yes 0 No 0 NA <br />❑ Yes 0 No ❑ NA <br />0 Yes ❑ No ❑ NA <br />0 Yes ❑ No ❑ N <br />Was sensor properly replaced and <br />verified functional after testing? <br />❑ Yes 0 No ❑ NA <br />0 Yes ❑ No 0 NA <br />❑ Yes 0 No 0 NA <br />❑ Yes ❑ No DNA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />O <br />