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Dec 07 07 02: 11p Afforda Test (209) 744-0116 p. 3 <br /> SWRC'li,January 2002 Page ( of <br /> S. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sum as <br /> Fill Riser Containment Sumps arc Present,but were Not Tested f j <br /> a Method Developed Liy: I I Sump l�lanufacturer I I Industry Standard F1 Professional L;ng,inccr <br /> I I Other(S'pecifv) <br /> ['est hod Used: [ I Pressure f Vacuum U Hydrostatic <br /> I 1 Other(.Specify) <br /> Test Equipmc Used: Equipment Resolution: <br /> Fill Sump# vi Suits # Fill SUME# Hill Sump# <br /> Sump Diameter _•.,_- _--- <br /> Sump Dc th, <br /> Height from'Tank Top to Top o <br /> Fii hest Pi in Penetration' . <br /> Height from Tank Top to Lowest <br /> Electrical Penetration: <br /> Condition of sump prior to <br /> testin --� <br /> Portion of Surne Tested <br /> Sump Material: <br /> Wait time between applying <br /> pressure/vacuum/water And <br /> starting test' <br /> Test Start'rimc: <br /> Initial Rcadiit Ri : - <br /> Test End Time: <br /> Final Rcadin R, : <br /> Test Duration __ ---------Change in Readin R -R, : <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: I I Pass I.I Fail I I Ps-'q I I Fail 1,1 Pass U Falb..,_ 11 Pass_❑_Fail <br /> Is there a sensor in the sur0#1 r 11 Yes I I No I I Yes 1-1 No (i Yes f l No I Ye: 11 No <br /> Docs the sensor alarm Aen I I Yes I'1 No ( INA a^- <br /> either product or is L)Yes I.I No O NA Cl Ycs f 1 No [INA I 1 Ye, 1 I No [ [NA <br /> detected? <br /> Was sensor rC ved for testing? I I Yes U No [INA U Yes n No ( INA ['i Yes I 1 No [INA I I Ycs U N <br /> INA <br /> Was sen properly replaced and U Yes I I No D NAt[Y� [ I No U NA LJ Yes ❑No I'I NA f7 Yes F1No [1 <br /> veriftunctionai after testing? <br /> Comments�-{include inform(nion on repairs ma a 17joior to tcstin��and rCcommGnl��d flow-iip rd tests) <br />