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11 <br />,q-WR.CB, January 2002 <br />f-acifity is Not Equipped With Fill Riser Containment Sumps 0 <br />Fill Riser Containment Sumps are Present, but were Notrested <br />. f <br />Tk,st Ntethod, Developed BY: Standard 0 Sump klanufacturef Kludustn- and �ird <br />Other (Specify) <br />T;;�somcthod Used: 11 Pressure G vacuum <br />0 Other (Specijv) <br />Page — of <br />1-1 Professional Engineer <br />Test Equipment Used: <br />Equipment Resolution: <br />F1 <br />in Sump. # <br />Sum p Diameter: <br />FM su Mp 4 <br />FM Sump # <br />FM Sump -A <br />Sump Depth - <br />70 <br />Height from, Tank Top to Top of IVR <br />Highest Pij�mg Peadnition: <br />Af 14 <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />Condition of sump prior to <br />testi•ng: of Y <br />121, y <br />Portion of Sump Tested <br />Sump Nbieriak - I ;::wf- <br />I <br />Wait time between applying <br />pressurvi acuum/water and <br />startina test: 14? <br />I <br />I /(? <br />Test Start Time: 1(66 <br />1 <br />Wtial Reading Iq de <br />Test End Time: I we <br />CIO <br />Final Readint- (RF.): <br />Test Duration: <br />Change in Read!2�g Mp-RI): <br />PassiFail'nireshold or Criteria: <br />Test Result Pass 0 Fa <br />0 Fad <br />0 Puss 0 Fad <br />0 Pam 0 Fail <br />Is there i sensor in the sump? I;r <br />yes 0 No <br />?f Yes No <br />0- Yes LI NO <br />0 N'Cs C No <br />Does the sensor alarm whea <br />t.7 <br />either product or water is i2`Yes No FI NA <br />detected'' <br />L--'�es r, No DNA <br />-J Yes f <br />L J No NA <br />IlYes ON6 DNA <br />Was sensor removed for testing? 2"qes 0- No Cj- -MA <br />Ples C No 0 NA <br />E:, Yes FI No [I NA <br />D'Yes i7 No Fj NA <br />Was sensor property replaced and <br />verified fbactiouai after testing? 0 No Cl NA <br />2-��s 0 No Oj NA <br />C- Yes [I No OINA <br />�-"Yes CING 0 NA <br />COMMentS - (include information on repairs made prior to tamfing, and recommended follow-up.for failed tests) <br />