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SWRCB,January 2002 Page of <br /> . FILL RISER CONTAMWNTSUMP TESTING <br /> Facili is Not E ui ed With Fill Riser Containment Sums ❑ <br /> Fill Riser Containment Sumps are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑Sump Manufacturer ❑Industry Standard Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: 1 1 - STS Equipment Resolution: 0. / " <br /> Fi Su p t- Fill Su 9 t °l Fill Sump# <br /> Sum Di eters '" Affi®, <br /> S De the '® 9"• ,® <br /> Height from Tank Top to Top of „ w <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: IF <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> to <br /> s 9 test: <br /> Test Start Time: It > 2- <br /> Initial Reading R, : ® , . ,� •" cl `t <br /> Test End Time: t t: 11 12° <br /> Final Reading F : " e" ®, <br /> Test tion: /S® t I t 14 Aq <br /> S. t <br /> Chane in Reading RF-&): t '" 't <br /> Pass/Fail Threshold or Criteria: 0. ®2.' - .a • -rte u <br /> TestResult: zPass ❑Fail Pass ❑Failass ❑Fail ❑ Pass ❑ ° <br /> Is there a sensor in the sump? Yes ❑No XYes ❑No JiZYes ❑No ❑Yes O'No <br /> Does the sensor alarm when )eyes ❑No ❑NA <br /> either product or water is Yes ❑No ❑NA XYes ❑No ❑NA ❑yes ❑No <br /> detected? <br /> Was sensor removed for testing? XYes ❑No ❑NA Yes ❑No ❑NA XYes ❑No ❑NA ❑Yes ❑No ❑ A <br /> Was sensor properly replacedand )d Yes ❑No El NA ®No ❑NA Yes ❑No ❑NA I7 Yes ❑ o DNA <br /> verified functional after testing? I T;;�e <br /> Comments—(include information on repairs made prior to testing, and recommen follow-up or failed tests) <br /> I <br />