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Project Name [*Wft LAWbRLL 4VALUE <br /> Inspector's Name_ 5VNll- KlumA 1 ENGINEERING <br /> Unit Tested W N U --W E3 4 <br /> Date 8—q-2--2,014 d.. %--e3--*zoo <br /> ANNUAL LCRS CONTINUITY TEST INSPECTION <br /> (A)TRACER.DYE PRE-TESTING PHASE <br /> 1. Is the LCRS sump pumped for liquids prior to testing? yes no <br /> 2. Was a pre-testing LCRS sample collected for observation? yes no <br /> 3. If the sump was not pumped prior to testing,state reason: N A <br /> 4. Is the entry port free and clear of accumulated debris? yes _ no <br /> 5. Are any repairs needed to the port prior to LCRS continuity testing?yes no--><- <br /> 6. Total number of ports that require repair: <br /> 7. If repairs are required to the entry port,complete a Maintenance Work Order(MWO). <br /> Comments: Pa !&ec$ f1Qp r,�p <br /> 1—�_ <br /> (B)TRACER DYE INJECTION PHASE <br /> Tracer Dye Used: kUC- VAI L'I kAtM D4 E Unit: wMy^W as'r <br /> t Start time of tracer dye injection: 10 04- Tank Start Reading(gal.): 20 0.0 <br /> Stop time of tracer dye injection: t 0 33 Tank Stop Reading(gal.): ®°0 <br /> Total volume of tracer dye mixed(ml) : 8o hx(., <br /> Total volume of tracer dye solution injected in the unit(gallons): 2100.To <br /> Average flow rate of injected tracer dye solution(gallons per min.): 717 <br /> Comments: TAacer <br /> Remedial Action Work Order Date Completed Signature <br /> Signature of Inspector <br /> ® Page 1 of 2 <br />