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GO �3 tE-•°� . <br />� S'Qe P�w•�o Pkwy z-�.-o3 <br />6. PIEPING SLTW TESTING Trgr_V C A <br />Test Method Developed By: ❑ Sump Manufacturer ❑ Industry Standard CKProfessional Engineer <br />13 Other (Spec) <br />Test Method Used: O Pressure ❑ Vacuum ❑ Hydrostatic <br />Other (SPec�) GG d Y lit. bri�.17 c 'C, <br />Test Equipment U <br />sed: <br />CC. O [` <br />� S G Equipment esolutt <br />. _ ... .. .:max:;...... <br />Sump #j))-Mtx sump #Uk Sjuve sump # Sump # <br />Sump Diameter:$ <br />�Gh GAS <br />Q Yh <br />Sump Depth: <br />1 <br />1-hC <br />Sump Material: <br />F �� , ass <br />�! r <br />Height from Tank Top to Top of <br />Highest Piping Penetration: <br />�l 1rtC� <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />9)1* Iv%c:hts <br />3Q® jv,%c n S <br />Condition of sump prior to testing: <br />C.. n 0 el <br />&00J <br />Portion of Sump Tested' <br />5Z i1 <br />I h <br />Wait time between applying <br />pressure/vacuum/water and starting <br />test: <br />30 Me nt teS <br />30hivl tGs <br />Test Start Time: <br />t4 <br />9 1 Q6 <br />Initial Reading (Rt): <br />Yn{ <br />(000 yrs( <br />Test End Time:)C)'.+9 <br />9,Y? A M - - - <br />Final Reading (RF): <br />GO 1,v,. { <br />1,80 <br />Test Duration: <br />Z { tAi <br />Change in Reading (RF -R.): <br />*0 m <br />, 0 <br />Pass/Fail Threshold or Criteria: <br />0. 05 & P R <br />� e P N <br />est::.. es►lt:::� _::.>�;.:::`:= .. _:': ".:: •:... <br />..;.., ...... <br />.�SrEat1::., <br />-- -- _ - - - - <br />°,__ )��Pass., ❑ Fael'�_:; ;.- �%_Pass_C•Fail :•Pass ©_Pett ;�_ <br />Was sensor removed for testing? <br />Yes ❑ No ❑ NA <br />JWYes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />? <br />yes ❑ N ❑ NA <br />o <br />19 Yes ❑ No DNA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br />Comments — (include information on repairs made prior to testing and recommended follow-up for failed tests) <br />1 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 "NA", the entire sump must be tested. (See SWRCB LG -160) <br />Paee4of 7 1/13/2003 <br />0 <br />