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SWRCB,January 2002 • Page ' op_' --' <br /> 8, FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sumps X <br /> Fill Riser Containment Sumps are Present,but were Not Tested _ <br /> Test Method Developed By: ❑Sump Manufacturer ❑Industry Standard Professional Engineer <br /> ❑Other(Specify) -_ <br /> Test Method Used: ❑ Pressure ❑Vacuum Hydrostatic <br /> ❑Other(Spec) _ <br /> Test Equipment Used: Caldwell Level Change Indicator Equipment Resolution: <br /> Fill Suinp# Fill So in # Fill Sump# Fill Sump it <br /> I <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 /> water and starting test: -- <br /> Test Start Time: <br /> Initial Reading(R): — <br /> Test End Time: — <br /> Final Reading(RF): — <br /> Test Duration: --- - <br /> Change in Reading(RF-Rj): ---- <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 C No ❑Yes C No <br /> Does the sensor alarm when <br /> either product or water is Yes 11 No ❑NA Yes ❑No C NA Yes ❑No ❑NA ❑Yes ❑No CNA <br /> detected? <br /> Was sensor removed for testing? Yes 0 N 0 N Yes 0 N CNA Yes ❑No [INA ❑Yes ❑No CNA - <br /> Was sensor properly replaced and Yes ❑No ❑NA Yes ❑No [INA Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> verified functional after testing? I I I -_ <br /> Comments (include information on repairs made prior to testing and recommended follow-up forfailed tests) <br />