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�L,*C,6 it C13Y-11 <br />S -c -e Po 60 Pkwy 03 <br />6. PirpiNr-qTTwpTF4zTyfvr--T----,. rA <br />Test Method Developed By: 13 Sump Manufacturer 0 Industry Standard CKProfe;sional Engineer <br />IS Other (Specify) <br />Test Method Used: 0 Pressure 0 Vacuum 0 Hydrostatic <br />)(Other (Specify) AC_C, p! err& tp j Vdro "c - <br />Test Equipment Used: VCLO 0 -1-) 5 S HA k1c, M 0 <br />4LCY-P <br />Sump #01-maSump #Uk Sjuve <br />Equipment Resolutio :),001 <br />Sump# Su=mp# <br />Sump Diameter: <br />*8 1 Vx C k es 48 lyk(,ke� <br />Sump Depth: <br />(02 1 1h`• --- <br />Sump Material: <br />Fir-4, —In,� T= i be rq I CA ss <br />Height from Tank Top to Top of <br />Highest Piping Penetration: <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />-39 1 vx ch es, <br />Condition of sump prior to testing: <br />C-wnod <br />Portion of Sump Tested' <br />5?, Y+ Iy%.es <br />Wait time between applying <br />pressure/vacuum/water and starting <br />test: <br />in at es <br />Test Start Time: <br />At4 9'.06 &f4 <br />Initial Reading (R�: <br />Roo Yv%l ro M( <br />Test End Time: <br />)0--+9 At4 ':S "? A H <br />Final Reading (RE): <br />C5 0 kve, I *,ad 1 <br />Test Duration: <br />Y)"I Kip%"tes <br />Change in Reading (RF-Ri): <br />") Y-0 wyl ) <br />Pass/Fail Thr , esbold or Criteria: <br />— <br />0. 05 GR 0.(25 CVPH <br />Result: <br />est -21,77777: <br />D P, <br />Was sensor removed for testing? <br />%Yes ONo DNA XYes ONo DNA <br />DYes DNo ONA 0 Yes DNo DNA <br />Was sensor properly replaced and <br />verified functional after testing? . <br />5(yes ONo DNA !g Yes ON6 ONA <br />I I <br />OYes ONo DNA 0 Yes DNo DNA <br />Comments — (include information on repairs made prior to testing, and recommended follow -upfor failed tests) <br />I If the entire depth of the sump is not tested, specify how much was tested. If the answer to any of the questions indicated with an <br />asterisk (*) is "NO" or "NX', the entire sump must be tested. (See SWRCB LG -160) <br />Paae 4 of 7 <br />1/13/2003 <br />