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Pae 6 of 8 <br /> MFIIPNCE <br /> Y6T M6 ' <br /> 8. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sumps ❑ <br /> Fill Riser Containment Sumps are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑ Sump Manufacturer ❑ Industry Standard ❑Professional Engineer <br /> ❑Other(Specify) <br /> Test Method Used: ❑Pressure ❑Vacuum ❑ Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> Fill Sump # Fill Sump # Fill Sump # Fill Sump # <br /> "from <br /> "Topof <br /> Highest Piping Penetration: <br /> Height from Tank Top to Lowest <br /> Electrical Penetration: <br /> Condition of sump prior to testing: <br /> Portion of Sump Tested <br /> Sump Material: <br /> Wait time between applying <br /> pressure/vacuum/water and starting <br /> test: <br /> Test Start Time: <br /> Initial Reading(R1): _ <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 either ❑Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA <br /> product or water is detected? <br /> Was sensor removed for testing? ❑Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA <br /> Was sensor properly replaced after ❑Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA <br /> testing? <br /> Comments—(include information on repairs made prior to testing and recommended follow-up for failed tests) <br />