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-•SWRCB, January 2002 0 Page 7 of 8 <br />8. FILL RISER CONT NT SUMP TESTING <br />Facility is Not Equipped With Fill Riser Containment Sum <br />Fill Riser Containment Sumps are Present, but were Not Tested ❑ <br />Te 7tMethod Developed By: ❑ Sump Manufacturer 0 Industry Standard ❑ Professional Engineer <br />❑ Other (Spec) ",-Zl <br />Test Meth Used: ❑ Pressure ❑ Vacuum 0 Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used I Equipment Resolutionr-`� I <br />Sump Diameter: \ <br />Fill Sum # <br />Fill Sump # <br />Fill Sump # <br />Fill Sump♦ # <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 />' `y <br />Condition of sump prior to <br />testing*- <br />Portion of Sump Tested <br />v <br />Sump Material: <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />Initial Reading (RO: <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF-Rj): <br />Pass/Fail Threshold or C ' eria: <br />Test Result: <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑Fail <br />❑ Pass ❑ Fail <br />Is there a sensora SUMP? <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />Yes ❑ No <br />Does the-senso , larm when <br />either produ or water is <br />detected? <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No El NA <br />❑ Yes o ❑ NA <br />Was se or. removedfortesting.. <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No NA <br />Was sensor properly replaced and <br />verified functional after testin ? <br />❑yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑Yes ❑ No ❑ NA <br />❑Yes ❑ No ❑ <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />