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SWRCB, January 2002 Page 6 of pp1 <br />8. FILL RISER CONTAINA1ENT SUMP TESTING <br />Facility is Not Equipped With Fill Riser Containment Sums X <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: <br />❑ Pressure ❑ Vacuum <br />❑ Other (Spec) <br />Hydrostatic <br />Test Equipment Used: <br />Equipment Resolution: <br />Sump Diameter: <br />Now= I <br />Fill SumE # Fill Sump # <br />Fill Sump # 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 />water and startin test: <br />Test Start Time: <br />Initial Reading Rj): <br />Test End Time: <br />Final Reading RF): <br />Test Duration: <br />Chane in Reading RF-RI): <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />Pass ❑ Fail Pass ❑ Fail <br />Pass ❑ Fail ❑ Pass ❑ Fail <br />Is there a sensor in the sump? <br />Yes ❑ No Yes ❑ No <br />Yes ❑ No ❑ Yes ❑ No <br />Does the sensor alarm when <br />either product or water is <br />detected? <br />Yes ❑ No ❑ NA Yes ❑ No ❑ NA <br />Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br />Was sensor removed for testing? <br />Yes ❑ No ❑ NA Yes ❑ No ❑ NA <br />Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced and Yes ❑ No ❑ NA Yes ❑ No ❑ NA Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br />verified functional after testin ? <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />