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SWRCB, January 2002 <br />Page of 7 <br />j5a 111b1� 1(1a iS 14—%j 1t911'q1B1L' 17 a uvaeaa <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: El Sump Manufacturer [I Industry Standard X Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: ❑ Pressure ❑ Vacuum X Hydrostatic <br />❑ Other (Sped) <br />Test Equipment Used: MTS Mag Probe W/ TDU Meter Equipment Resolution: .001" <br />Fill Sump # 1 — 87 <br />42" <br />Sump Diameter: <br />Sump Depth: <br />44" <br />Height from Tank Top to Top of <br />20" <br />Highest Pi ing Penetration: <br />Height from Tank Top to Lowest <br />21„ <br />Electrical Penetration: <br />Condition of sump prior to <br />testing: <br />Okay <br />Portion of Sumn Tested <br />24" <br />Sump Material: <br />Fiberglass <br />Wait time between applying <br />pressure/vacuum/water and <br />10 Min. <br />startin test: <br />Test Start Time: <br />11:26 <br />Initial Reading (Ri): <br />0.000" <br />Test End Time: <br />11:50 <br />Final Reading (RF): <br />0.000" <br />Test Duration: <br />24 Min <br />Change in Reading (RF-Ri): <br />.000" <br />Pass/Fail Threshold or Criteria: <br />+/- .004" <br />Test Result: <br />X Pass ❑ Fail <br />Is there a sensor in the sump? <br />X Yes ❑ No <br />Does the sensor alarm when <br />either product or water is <br />X Yes ❑ No [INA <br />detected? <br />Was sensor removed for testing? <br />X Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />X 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 />