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FILL RISER CONTAINMENT SUMP TESTING RECD J U L 20 2015 Facility is Not Equipped With Fill Riser Containment Sumps ❑ Fill Riser Containment Sumps are Present, but were Not Tested El Test Method Developed By: ❑ Sump Manufacturer p Industn Standard ❑ Professional Engineer ❑ Other (Specify) Test Method Used: ❑ Pressure ❑ Vacuum m Hydrostatic ❑ Other (Specify) Test Equipment Used: See attached testing procedures Equipment Resolution: Inches Fill Sump # 87 Fill Sump;4 91 Fill Sump # Fill Sump # Sump Diameter: 48" 48" Sump Depth: 69" 69" Height from Tank Top to Top of Highest Piping Penetration: 1a 14 Height from Tank Top to Lowest Electrical Penetration: z5 25 Condition of sump prior to testing: Fair Fair Fair Fair Portion of Sump Tested Above highest penetration Above highest penetration Above highest penetration Above highest penetration Sump Material: Fiberglass Fiberglass Wait time between applying pressure/vacuum/water and starting test: 15 minutes 15 minutes 15 minutes 15 minutes Test Start Time: 10:52am 10:52am Initial Reading (R,): 3.97772 Inches 3.85206 Inches Inches Inches Test End Time: 11:07am 11:07am Final Reading (RF): 3.97826 Inches 3.85270 Inches Inches Inches Test Duration: 15 mins 15 mins 15 mins 15 mins Change in Readin (RF -R,): 0.00()54 0.00064 Pass/Fail Threshold or Criteria: .002 .002 Test Result: p Pass ❑ Fail p Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail Is there a sensor in the sump? p Yes ❑ No ® Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Does the sensor alarm when either product or water is detected? Z Yes ❑ No ❑ NA F] Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Was sensor removed for testing? ® Yes ❑ No ❑ NA ❑ Yes ❑ No ❑NA ❑ Yes El No El NA ❑ Yes El No ❑ NA Was sensor properly replaced and verified functional after testing? © Yes El No ❑ NA p Yes ❑ No El NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Comments — (include information on repairs made, rior to testin)z, and recommended follow-up for failed tests)