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• SWRCB,January2002 • • <br />' Page _ of <br />7. FILL RISER CONTAINMENT SUMP TESTING <br />Facility is Not Equipped With Fill Riser Containment Sumps ❑ <br />Fill Riser Containment Sumps aze Present, but were Not Tested ❑ <br />Test Method Developed By: ❑ Sump Manufacturer ❑ Industry Standard L Professional Engineer <br />❑ Other (Specify) <br />I est \lethod Used ❑ Pressure— — <br />❑Vacuum Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used:Equipment Resolution <br />Fill Sump # Fill Sump # FiII Sum # <br />.G,mn n;�meo. P Fill Sump # <br />Height from Tank Top to Top of <br />Hi hest Piping Penetration: <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />CuuaitionofSump pno, to <br />Wait time between applying <br />Pressure/vacuum/water and <br />starting test: <br />Test Start Time. <br />Test <br />ra>�ran inresnoia or t ritena: <br />Test Result: <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass <br />❑ Fail <br />11 Pass <br />❑Fail <br />Is there a sensor in the sump? <br />❑ Yes -- No <br />❑ Yes <br />❑ No <br />❑ Yes <br />❑ No <br />❑ Yes <br />❑ No <br />Does the sensor alarm when <br />either product or water is <br />G Yes ❑ No n NA <br />❑ Yes ❑ No <br />[INA <br />❑ Yes ❑ No <br />'_- NA <br />❑Yes ❑ No <br />❑ <br />detected? <br />NA <br />Was sensor removed for testing? <br />Yes ❑ No ❑ NA <br />❑ Yes ❑ No <br />❑ NA <br />❑ Yes ❑ No <br />❑ NA <br />❑ Yes ❑ No <br />❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />—"Yes ❑ No ❑ NA <br />❑ Yes ❑ NTo <br />❑ NA <br />❑ Yes ❑ No <br />❑ NA <br />❑Yes ❑ No <br />❑ NA <br />COM m entS — (include information on repairs made prior to testhrg and ),ecommeirded follow up for failed tests) <br />