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SWRCB, January 2002 Page � of <br />------ <br />S. FILL RISER CONTAIN!ff=MP TESTING <br />ri"AHLY 1b 'NO' cwPPra w'LLL Pill Kiser Containment Sumps F1 <br />Fill Riser Containment Sumps are Present, but were Not Tested 0 <br />Test Method Developed By: D Sump Manufacturer 0 Industry Standard 11 Professional Engineer <br />n Other <br />Test Mediod. Used: L1 Pressure 0 Vacuum 0 Hydrostatic <br />0 Other (Specify) <br />Test Equipment Used: <br />Fill sum #1 <br />Sump Fill Sump <br />Sump Diameter: <br />Equipment Resolution: <br />Fill Sump # <br />Fill Sump 4 <br />5 <br />Sump Depth: <br />Height from Tank Top to Top of <br />HI best Piping Penetration: <br />7p# <br />Height from Tack Top to Lowest <br />Electrical Penetration: <br />Condition of suirip, prior to <br />testing: <br />Portion of Sump Tested <br />Sump Material: <br />Wait time between applying <br />pressureJN-acumn/water and <br />starting test: <br />Test Start Time: <br />Initial Reading (Ri): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF -RI): <br />Pass/Fail Threshold of Criteria: <br />Test Result: <br />0 Pa 0 Fail <br />0 Pan 0 FA <br />❑ —Passo Fail <br />0 —PaMO Fail <br />Is there a sensor in the Sump'? <br />D YEl No <br />I <br />0 Yes ONo <br />0 Yes 0 NO <br />0 Yes ONO <br />Does the tisor alarm when <br />either product or water is <br />detected? <br />11 ONo DNA <br />�z <br />DYes ONo DNA <br />DYes ONo DNA <br />OYes ONo DNA <br />Was sensor removed for testing?— <br />Yes ONO 0 <br />DYes ONo DNA <br />DYes ONo ONA <br />11 Yes 0 No 0 NA <br />Was sensor property replaced and <br />N wified functional after testing? <br />0 Yes DNo DNA <br />OYes ONo DNA <br />DYes DNo DNA <br />OYes ONo DNA <br />COMM exits -(include iriformation on repairs made prior to lesfing, and recoititnendedfollou-upfor failed tests) <br />