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APR-30-2010 FRI 05: 39 PM P, 034 <br /> EW 6 of 8 <br /> B. FILL RISER CONTAINMENT SUMP TESTING <br /> Fa�dllty is Not Equipped With Fill Riser Containment Sumps <br /> Fill miser Containment Sumps are Present,but were Not Tested ❑ <br /> Test Method Developed By: II Sump Manufacturer ❑Indus"Standard ❑Professional Engineer <br /> D Other(Speedy) <br /> Test Method Used: ❑Pressure ❑Vacuum O Hydrostatic <br /> ❑Oder(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> Fill Sump# Fill Sump# Fill Sump# Fill Sump# <br /> Sump Diameter: <br /> Sump Depth: <br /> Height from Tank Top to Top of <br /> Highest P1121nR Penetration: <br /> Height from Tank Top to Lowest <br /> Electrical Penetration: <br /> Condition of sump prior to testin : <br /> Portion of Sum2 Tested <br /> Sump Material: <br /> We time between applying <br /> pressure/vacu6mWater and starting <br /> test. <br /> Test Start Time: <br /> In�ReWdjng <br /> (RI): <br /> TTime: <br /> FiRF: <br /> Test Duration: <br /> Change in Reading(RFA): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: O.Pass D Fall 0 Pass O Fail•'. ;. 0-Pass ®Fail D Pass . 0 Fall <br /> Is there a sensor in the sump? QYes ❑ No 13 Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No <br /> Does the sensor alarm when either ❑Yes ❑No ❑ NA ❑Yes ®No DNA D Yes a No a NA o Yes o No DNA <br /> roduct or water is detected? <br /> Was sensor removed for tesHn ? O Yes D No D NA 0 Yes D No D NA ❑Yes ❑No ❑NA ❑Yes D No D NA <br /> Was sensor properly replaced after ❑Yes ❑ No ❑ NA D Yes D No DIVA Dyes ONO DNA D Yes D No D NA <br /> testing? <br /> Comments—(include infonn&W on repairs made prior to testing,and recommended follow-up for failed tests) <br />