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SWRCB, January 2002 Page 6 of 7 <br />8. FILL RISER CONTAINMENT SUMP TESTING <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: ❑ Sump Manufacturer ® Industry Standard ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: <br />❑ Pressure ❑ Vacuum ® Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used:Incon TS -STS <br />Sump Diameter: <br />Equipment Resolution:+/- 0.0001" <br />Fill Sump #N/A Fill Sump #N/A Fill Sump #N/A Fill Sump #N/A <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 />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />Initial Reading (RI): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF -RI): <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />Lj Pass 'Fail Pass ❑ Fail El Pass ❑ Fail El Pass ❑ Fail <br />Is there a sensor in the sump? <br />Yes ❑ No El Yes El 0 Yes 0 No El Yes 0 No <br />Does the sensor alarm when <br />either product or water is <br />detected? <br />❑Yes ❑No [INA ❑Yes ❑No DNA ❑Yes ❑No [INA ❑Yes ❑No ❑NA <br />Was sensor removed for testing? <br />OYes ONo NA Yes No ❑NA Yes nNo FINA ❑Yes No DNA <br />Was sensor properly replaced and ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No [—INA ❑Yes ❑No ❑NA <br />verified functional after testing? <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />Note: Facility is not equipped with fill riser containment sumps. <br />