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SWRCB, January 2002 Page _of— SWRCB, January 2002 <br />PIPF TFCTIN(. <br />Test Method Developed By: <br />Piping Mmmfactuter <br />Other (:Speck) <br />Industry Standard Professional Engineer <br />Test Method Used: <br />Pressure <br />Other(Specfy) <br />Vacuum Hydrostatic <br />Test Equipment Used: <br />Piping Run # Piping Run <br />Equipment Rasohttion: <br />Piping Ran Piping Roo# <br />Piping Material: <br />%,.no. <br />Piping Manufacturer: <br />Hydrostatic <br />Piping Diameter, <br />Test Equipment Used: <br />Length of Piphng Run: <br />Product Stored: <br />Equipment Resolution: <br />Method and location of <br />i is -t n isolation: <br />Sump Diameter: <br />Wait time bet Een applying <br />pressnre/cacuum/water and <br />starting test: <br />Sump # <br />Test Stan Time: <br />Sump # <br />Initial Reading (Ri): <br />Test End Time: <br />Final Reading (Rr): <br />Test Duration: <br />Change In Reading (Rr-Rt): <br />Sump Material: <br />Pass,Fail Threshold or <br />Criteria: <br />.Test Result: <br />Pass Fau Pass <br />Fail Pass Fail- Pass Fail <br />Comments —Iinc7ude in formation on repairs utadeprror to resting andrecommertdedfollon--trpjorfailedfests) . <br />Page _ of <br />F PTPT\r_gli\dPTFCTINr <br />Test Method Developed By: <br />Sump Manufacturer <br />Other(SpeclY) <br />Industry Standard <br />Professional <br />Engineer <br />Testllethod Used: <br />Pressure <br />Oil ter(SpecA) <br />%,.no. <br />Hydrostatic <br />Test Equipment Used: <br />Equipment Resolution: <br />Sump Diameter: <br />Sump # <br />Sump # <br />Sump # <br />Sump # <br />Sump Depth: <br />Sump Material: <br />Height from Tauk Top w Top of <br />Highest Piping Penetration: <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />Condition of sump prior to testing: <br />Portion of Sump Tested' <br />Does turbine shut down wheu <br />sump sensor detects liquid(both <br />product and water <br />Yes No NA <br />Yes <br />No <br />NA <br />Yes No <br />NA <br />Yes <br />No <br />NA <br />Turbine shutdown response time <br />Is system programmed for fail-safe <br />shutdown? <br />Yes No NA <br />Yes <br />No <br />NA <br />Yes No <br />NA <br />Yes <br />No <br />NA <br />Was fail-safe verified to be <br />emtional"' <br />Yes No NA <br />Yes <br />No <br />NA <br />Yes No <br />NA <br />Yes <br />No <br />NA <br />Wait time bar,— applying <br />pressureivacuumA ester end starting <br />test. <br />Test Start Time: <br />Initial Reading (R,): <br />Test End Time: <br />Final Reading (Rr): <br />Test Duration: <br />Change in Reading (Rr-Rn): <br />PasslFail Threshold or Criteria: <br />Test Resut: <br />Pass `'.Fall <br />.Pass <br />Fail:. <br />Pass'., <br />Fan <br />Pass <br />Pail <br />Was sensor removed for testing? <br />Yes No NA <br />Yes <br />No <br />NA <br />Yes No <br />NA <br />Yes <br />No <br />NA <br />W'as sensor properly replaced and <br />verified functional after testin <br />Yes No NA <br />Yes <br />No <br />NA <br />Yes No <br />NA <br />Yes <br />No <br />NA <br />Comments — /include n fonna6on sur repairs made prior ro tesnng, and recmmnended follow-nrp for failed tests) <br />' If the entire depth of the sump is not fated, 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 />