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SWkCB. January 2002 <br />Site: City of Stockton <br />Corp Vard <br />11465 S. Lii cola St. <br />Stotkton, CA <br />Dote: April 9, 2009 <br />Test Metliod Developed By: <br />Enginddr <br />Tost Method Used: <br />6. PIPING SUMP 'TESTING <br />[ Sump Manufacturer Indt <br />[ I Other (Specify) <br />[ ] Pressure [ <br />[ 1 Other (Spea& <br />D4 <br />Sump Material: ' —1 "' <br />Height from 1'ahk Trip to Trip of 22" <br />Highcst Pi in' Penetration: 24" <br />Height febris Tank Tor to Lowest 1.6" '$„" <br />Electrical Pendtration: <br />um <br />Wage 4 of 7 <br />[ ] Professional <br />DM turbine shot clown whdis such <br />[ 1 YES[ ] N(3 <br />[ l Y [ 1 NO <br />[INA <br />[ I NA <br />sensor demets i�li9d (bath product & <br />[XI NA <br />[X1 NA <br />ptiss/Nail TFtreshold or Criteria: <br />.0' <br />[X] PASS I ] FAIL [X] PASS I. 1 FAIL ASS PEASS PAIL PASSO <br />NIA <br />[ I YES C I NO <br />NIA <br />[ ] NA S P ] NO <br />L I]YES C I NO <br />IIYES <br />NA <br />Tdrbittd Shutdown response time . <br />Is systdrtt pragrsem mal for tail -safe <br />shdtdgwt17 <br />[ INA <br />C l YP, f. ] NO <br />C 1 <br />[ I YES [ j NO <br />(] i'CS [ ;I NO <br />I I YES <br />be <br />Was fait -safe verified to <br />(XI NA <br />[X] NA <br />[ INA <br />C .INA <br />o' crational? <br />Wait tithe between applying <br />ptc5suWvactiitm/wattr and starting <br />5 minutes <br />5 minutes <br />test: <br />1 •� <br />z'�g •• m <br />Test Start Time: <br />Test <Phd Tittle: <br />1:30 ptet 3:15 pm <br />E'ifla! Readiis <br />yl" 22" <br />TdSt l3iiretipn: <br />: !tour Ya hour <br />EnnS <br />Chan a in Rd6din Rf-R.l <br />-t?- -U- <br />-0- <br />F[] <br />ptiss/Nail TFtreshold or Criteria: <br />.0' <br />[X] PASS I ] FAIL [X] PASS I. 1 FAIL ASS PEASS PAIL PASSO <br />l'mgt Re4tilts <br />Wee removed for testing? <br />[x] YES [ 1 NO [Xl N S •1 1 NO (INA C ]NO [ ] NAS [ )NO <br />sensor <br />Wes sensor (}roperly replaced and <br />(1 NO [!tj Yhs [ l NO [ l ypS [ 1 NO [ j YRS [ ] NO <br />[ X C I N/A [ l NA <br />vt:rified fundijotial aiicr testin , <br />]N/A [ 1 NIA <br />to testing, and recommended follow-up for failed tests) <br />Comfndrits — (include information <br />on repairs made prior <br />1 If the entire depth of the sump is oat <br />tested, smelly how muds was tested, if the answer to -my of the questions indicated with an asterisk (") is "NO" or <br />"NA", the zntire sump must be tooted. (SWRCB <br />LG -I 60) <br />