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SWRCB,January 2602 Page of <br /> 9. 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(Spec) <br /> Test Method Used: ❑Pressure _.Vacuum Hydrostatic <br /> Li Other(Spec) <br /> Test Equipment Used: Equipment Resolution: <br /> Fill Sunup# Fill Sump# Fill Sump# Fill Sulu 1)# <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 /> testin : <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(111): <br /> Test End Time: <br /> Final Read in g(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 El Yes L No ❑Yes ❑No ❑Yes No <br /> Does the sensor alarm when <br /> e i t h er product or water i s 'I No ❑NA []Yes LNo LINA El Yes -1 No ❑NA El Yes 11 No NA <br /> detected? <br /> Was sensor removed for testing? Yes No ❑NA ❑Yes ❑No ❑NA Ij Yes . No ❑NA ❑Yes ❑No NA <br /> Was sensor properly replaced and ❑Yes ❑No ❑NA L Yes ❑No ❑NA ❑Yes No ❑NA CI Yes ij No ❑NA <br /> verifted functional after testing? <br /> Comments 'include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />