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S WRCB. January 2002 <br />8. FZGU RISER CONTAIiV1VELIN I <br />Facili is Not Eguipped With Fill Riser Containment Sutra s <br />Fill Riser Contaittznent Stllrtps are Present but were Not Tested `___] <br />'fest Method Developed By: [ !_Sump Manufacturer <br />Professional Engineer <br />[ ]ether (Specify) <br />Test Method Used: [ ] Pressure <br />Hvdrostatic <br />Other ec! <br />Test Equipment Used: fC.G L A <br />Fill Sump is w/o 10 Fill Sump # <br />Sump Diameter! <br />Sum Lie the <br />Height from Tank Top to Top of <br />Hlghtist Piping Penetration: <br />ueiOt Huta Tnnk Too to Lowest <br />Portion of Sump Testcd <br />Sump Material: ' <br />Wait time bcrv+eatt applying <br />pressurelvacuunilwater & starting <br />test <br />0 <br />Page 6 of 7 <br />TESTING <br />[ X Industry Standard <br />( } Vacuum <br />ul mens Resolution <br />Fill Sump # I F <br />D# <br />Final Readin <br />Test 1)Uratlon: <br />Chane In Readln -RI . <br />lipi <br />Y a <br />PasslFail Threshold or Criterio. <br />Test Result: <br />PA551 _ :.:�aLll:.. <br />]PASS'_ :'i h1f11L:: <br />P�iSS i1r' <br />!PASS I I FAIL <br />Is there a sen9ot in the sump? <br />Ycs NoNA <br />Ya No NA <br />Yes No NA <br />Yes No NA <br />Does the sensor alum whin either <br />productor water is detected? <br />[ Ycs [ ] No [ <br />INA <br />[ ]Yes [ j No [ INA <br />( ] Yes [ ] No [ j NA <br />[ ] Yes [ ]No [ ] NA <br />Was sensor removed for tcslin 7 <br />4AYrq I INofNA <br />I <br />r I Yes r No I NIA <br />YesNo NIA <br />Yes No NIA <br />Was sensor properly replaced and <br />[d Ycs [ ]NO[ <br />1 NA I <br />[ ] Yes [ ] No ( 1 N/A I <br />[ ] Yes [ ] No [ ]NIA <br />[ ] Yes [ j No [ ] NIA <br />verified lLnctional alter testing? i I i <br />Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />