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e <br />SWRCB, January 2102 Page �7 of� <br />8. FILL RISER CONTAINMENT STESTING <br />F <br />acility Not Equipped With Fill Riser Containment Sum s <br />Containment Sumps are Present, but were Not Testedod Developed By: 0 Sump Manufacturer" 0 Industry Standard"' -0 Professional Engineer <br />0 Other (Specify) <br />Used: ❑ Pressure 0 Vacuum 0 Hydrostatic <br />0 Other (Specify) <br />Test Equipment Used,,, Equipment Resor <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />Fill Sum # <br />Fill Sum # <br />Fill Sum <br />Fill Sum # <br />Sum Diameter: <br />,a <br />Sum2 Depth: <br />Height from Tank Top to Top of <br />Hi est 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 />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />Initial Reading (R <br />Test End Time: <br />jz <br />Final Reading RF): <br />Test Duration: <br />Change in Reading (RF -RI): <br />Pass/Fail Threshold or Crite ' : <br />Test Result: <br />❑ Pass 0 Fail <br />❑ Pass ❑ Fail <br />0 Pass 0 Fai . <br />0 Pass ❑ Fail <br />Is there a sensor in the p? <br />0 Yes 0 No <br />0 Yes 0 No <br />0 Yes 0 No <br />❑ Yes ❑ No <br />Does the sensor al when <br />either product or ter is <br />detected? <br />❑ Yes ❑ No ❑ NA <br />0 Yes ❑ No ❑ NA <br />❑ Yes []No ❑ NA❑ <br />0 No ❑ NA <br />Was sensor r oved for testing? <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />0 Yes ❑ No ❑ NA <br />❑ Yes ❑ 0 NA <br />Was senso properly replaced and <br />verifiedctional after testing? <br />❑ yes. ❑ No DNA <br />❑ Yes 0 No ❑ NA <br />❑ Yes ❑ No DNA <br />0 Yes ONoNNA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />