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SWRCB , January 2002 Page of <br /> 8 . FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sumps O <br /> Fill Riser Containment Sumps are Present, but were Not Tested ❑ <br /> Test Method Developed By : ❑ Sump Manufacturer ❑ Industry Standard 0I Professional Engineer <br /> ❑ Other (Specify) <br /> Test Method Used : ❑ Pressure ❑ Vacuum ❑ Hydrostatic <br /> ❑ Other (Specify) <br /> Test Equipment Used : Equipment Resolution : <br /> m� r � _ <br /> Fill Sump # Fill Sump # Fill Sump # Fill Sump # <br /> Sump Diameter: <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 /> Condition of sump prior to <br /> testing: <br /> Portion of Sump Tested <br /> Sump Material : <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test : <br /> Test Start Time : <br /> Initial Reading (Rj) : <br /> Test End Time : <br /> Final Reading (RF) : <br /> Test Duration : <br /> Change in Reading ( RF- Rt) : <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ` ❑ Fail <br /> Is there a sensor in the sump? ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No <br /> Does the sensor alarm when ❑ yes ❑ No ❑ NA <br /> either product or water is ❑ Yes C No ❑ NA ❑ Yes 0 No ❑ NA Cl Yes ❑ No ❑ NA <br /> detected? <br /> Was sensor removed for testing? ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br /> Was sensor properly replaced and ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No Ci NA ❑ Yes ❑ No ❑ NA <br /> verified functional after testing? <br /> Comments — (include information on repairs made prior to testing and recommended folloia-up for•failed tests) <br /> No Fill Sumps <br />