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I Test Method Developed By: <br />ITest Method Used: <br />E <br />6. PIPING,; <br />M Sump Manufacturer <br />E3 Other (Specify) <br />El Pressure <br />M Other (Suecifv) <br />E <br />TESTING <br />E] Industry Standard <br />El Vacuum <br />Page — of <br />Professional Engineer <br />®Hydrostatic <br />Test Equipment Used: Caldwell Level IndicatorEquipment <br />Resolution: <br />.002 <br />11Z <br />Sump #Unleaded <br />Sump #Premium <br />Sump #Diesel Sump #Vent <br />Sump Diameter: <br />42 <br />42 <br />42 <br />26 <br />Sump Depth: <br />63 <br />63 <br />63 <br />24 <br />Sump Material: <br />fiberglass <br />fiberglass <br />fiberglass <br />fiberglass <br />Height from Tank Top to Top of <br />14.5" <br />14.51' <br />14.5" <br />0 <br />Highest Piping Penetration: <br />Height from Tank Top to Lowest <br />23'0 <br />23" <br />23" <br />0 <br />Electrical Penetration: <br />Condition of sump prior to testing: <br />clean <br />clean <br />clean <br />clean <br />Portion of Sump Tested' <br />2"above <br />2" above <br />2"above <br />181, <br />product line <br />product line <br />product line <br />Does turbine shut down when <br />sump sensor detects liquid (both <br />0 YesE] NoE] NA <br />Z Yes El No El NA <br />ED YesEl NoEINA <br />El Yes® No El NA <br />product and water)?* <br />Turbine shutdown response time <br />n/a <br />n/a <br />Is system programmed for fail-safe <br />0 Yes El No nNA <br />9 Yes® NoFjNA <br />0 Yesn No El NA <br />0 YeSN No 11 NA <br />hutdown?* <br />Was fail-safe verified to be <br />D yes® No El NA <br />El Yes 0 No El NA <br />[I Yes Z No El NA <br />D Yes El No Z NA <br />opEational?* <br />Wait time between applying <br />pressure/vacuum/water and starting <br />15 <br />15 'ns <br />15 's <br />15 's <br />test: <br />Test Start Time: <br />30ndns <br />30inins <br />30mins <br />30 'ns <br />Initial Reading (Rj): <br />first circle <br />first circle <br />first circle <br />first circle <br />Test End Time: <br />Omins <br />Omins <br />Ornins <br />Omins <br />Final Reading (RF): <br />no change <br />no change <br />no change <br />no change <br />Test Duration: <br />30 'ns <br />30inins <br />30 ins <br />30mins <br />Change in Reading (RF -R,): <br />0 <br />0 <br />0 <br />0 <br />Pass/Fail Threshold or Criteria: <br />.005/30mins <br />.005/30mins <br />.005/30mins <br />5/30 'ns <br />Test Result: <br />Pass El Fail <br />Z Pass El Fan <br />Z Pass El Fail <br />0 Pass El Fail <br />Was sensor removed for testing? <br />EQ Yes El NoF1 NA <br />0 YesEl NoEl NA <br />Z YesEl NoEINA <br />0 Yes [I NoEl NA <br />Was sensor properly replaced and <br />F s Z No[] NA <br />I Ye <br />[:] Yes F� NoE]NA <br />[:1 Yes® NoEINA <br />A, <br />El Yes 0 No® NAJ <br />verified functional after testing? I <br />_ <br />I <br />I <br />CO en — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />All sensors are tested during annual monitoring certification. <br />If the entire depth of the sump is not tested, specify how much was tested. If the answer to M of the questions indicated with an <br />asterisk M is "NO" or "NA", the entire sump must be tested, <br />