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S %' RCB, January 2002 0 <br />8. FILL RISER CONTAINMENT SUMP TESTING <br />Page (� of <br />Facility is Not Equipped With Fill Riser Containment Sum s' <br />Fill Riser Containment Sumps are Present, but were Not Tested ❑ <br />rs:= <br />Test Method Developed By: _ ❑ Su Manufacturer-.__. _.___❑ Industry Standard _ _ ❑ Professional Engineer. -..... <br />E Other (Spec) <br />u' Test Method Used ❑ Pressure ❑ Vacuum ❑ Hydrostatic / <br />❑ Other (Spec) <br />Test Equipment Used: � <br />Equipment Resolution: <br />" Fill SUMp # <br />Fill Sume # <br />Fill Sum #° <br />Fill Sump # <br />Stimp Diameter: <br />Sump Depth: <br />I leight from Tank Top to Top of <br />I liahest Piping Penetration: <br />I' Height from Tank Top to Lowest <br />Electrical Penetration: <br />Condition of sump prior to`£ <br />testing:_a, <br />Portion of Sump Tested <br />Sump Material: <br />Wait time between applying✓` <br />pressure/vacuum/water and ,A <br />starting test: <br />Test Start Time: <br />Initial Reading (RO: <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF-Rg):/' <br />{ <br />Pass/Fail Threshold or Criteria: <br />Test Result: ❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail '° <br />❑ Pass ❑ Fail <br />Is there a sensor in4he sump? ❑ Yes ❑ No <br />❑ Yes d No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />Does the sensor alarm when <br />C ther product` or water is ❑ Yes ❑ No 0 NA <br />detected? <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes,, ❑ No ❑ NA <br />Was sensor removed for testing? ❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No [INA <br />❑ Yes d No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? ❑Yes ❑ No ❑ NA <br />❑Yes ❑ No ❑ NA <br />❑Yes ❑ No ❑ NA <br />❑Yes ❑ Nd:, ❑ NA <br />Co in in ents — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />