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SWRCB,January 2002 Page of <br /> S. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Suntps ❑ <br /> Fill Riser Containment Sumps are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑ Sump Manufacturer ❑Industry Standard x Professional Engineer <br /> ❑ Other(Specify) <br /> Test Method Used: ❑Pressure ❑Vacuum x Hydrostatic <br /> ❑Other(Specify <br /> Test Equipment Used: :TS-STS icon sump test System Equipment Resolution: 2,101 <br /> Full Sump# NONE Fill Sump# Fill Sump# Fill Sump# <br /> Sump Diameter: NIA no fill risers <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 /> testin : <br /> Portion of Sump Tested b <br /> Sump Material: <br /> Wait time between applying 15 min 15 min 15 min 15 min <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(R,): - <br /> Test End Time: <br /> Final Reading(RF): - <br /> Test Duration: 15 ntin 15 min 15 min 15 min <br /> Change in Reading(RF-RI): <br /> Pass/Fail Threshold or Criteiiw 002 .002 .002 .002 <br /> Test Result: ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail <br /> Is there a sensor in the sump? ❑Yt* ❑No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No <br /> Does the sensor alarm when <br /> either product or water is ❑Yes ❑No ❑NA ❑Yes ❑No DNA ❑Yes ❑No ❑NA ❑Yes 0N 7N <br /> detected'' <br /> Was sensor removed for testing.) LLO]Yycb <br /> ❑No 11NA ❑Yea ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No CNA ❑Yes ❑No ❑NA <br /> verif ed functional after testis '? _...L <br /> Comments—(include information on repairs rade prior to testing, and recommendedfollow-up forfa led tests) <br />