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Feb. 6. 2014 9:53AM No. 3819 P. 7 0 0 8. FILL RISER CONTAINMENT SUMP TESTWG REGOVED Facility is Not Equipped With Fill Riser Containment Sumps ❑ FEB 0 6 2914 Fill Riser Containment Sumps are Present, but were Not Tested ❑ Test Method Developed By: ❑ Sump Manufacturer ® Industry Standard ❑ ❑ Other (Specify) HEALTH DEPARTMENT Test Method Used: 0 Pressure ❑ Vacuum ® Hydrostatic C] Other (Sped) Test Equipment Used: See attached testing procedures Equipment Resolution: Fin Sump # J-7 pill Sump # Fill Sump # Fill Sump # Sump Diameter: It Sump Depth: Leight from Tank Top to Top of Highest Pi in Penetration: Z. 0 E 7 Height from Tank Top to Lowest Electrical Penetration: S Z Condition of sump prior to testing: Portion of Sump Tested Above highest Above highest Above highest Above highest enetratioh peneiralion penetration enetralion Sump Material & Manufacturer: Wait time between applying pressure/vacuum/water and 30 minutes 30 minutes 30 minutes 30 minutes starting test: Test Start Time: 95 Initial Reading (Rr): 3. .2- -39 W 0, Test End Time: 10.11) 0: o O Final Reading (RF): 3. -z 4 e ->Q1721 Test Duration: — 15 min 15 min' 15 Olid 15 min Change in Reading (Rr-R,): _' 0 3'� cy p OO PassNail Threshold or Criteria: 0.002 0.002 0.002 0.002 Is there a sensor in the sum ? ® Yes ❑ No ® Yes ❑ No Yes No M Yes No Does the sensor alarm when either product or water is ®Yes ❑ No RINA ®Yes [-]No XNA ®Yes ❑ No ❑NA ®Yes ❑ No ❑NA detected? Was sensor removed for testing?®Yes ®Yes [I No [INA ®Yes El No ❑NA El No El ®Yes ❑ No El NA NA Was sensor properly replaced and ®Yes ❑ No ❑NA �jYcs [7j No ❑NA ®Yes ®No ❑NA Yes El No RNA verified functional after testin 1 Comments — (include information on repairs made prior to testing, and recommended follow-up forfailed tests) Received Time Feb. 6. 2014 9:59AM No.5138