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SWRCB,January 2002 Page!of 7 D <br /> S. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sumps C1 <br /> Fill Riser Containment Sumps are Present,but were Not Tested 11 <br /> Test Method Developed By: 0 Sump Manufacturer ;KIndustry Standard [I Professional Engineer <br /> [I Other(Specify) <br /> Test Method Used: 0 Pressure El Vacuum Hydrostatic <br /> [I Other(Spe4ify) <br /> ffi ed Equipment Resolution-. <br /> Test Equipment Used: CL <br /> M <br /> M R�717KWN'X <br /> FW Sump <br /> Fill Sump Fill Sump# Fill Sump# <br /> Sura p Diameter: <br /> Sump Depth: <br /> Height from Tank Top to Top of <br /> Highest P�p�Penetration 2 <br /> Height from Tank Top to Lowest Ir <br /> Electrical Penetration: 3Z- 3z <br /> Condition of sump prior to <br /> testing: c)0'P <br /> Portion of Sump Tested It <br /> Sump Material: F-, E*C i-4s <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> -A—ard—ng test: <br /> Test Start Time: <br /> Initial Reading(Rj): <br /> Test End Time: ef 1:2-2 <br /> Final Reading(RF): 1-2— 3)1 T <br /> Test Duration: zIV__ <br /> Change in Reading(RF-RI): 0(21 iz 1:9- rool'�� <br /> Pass/Fail Threshold or Criteria: 100.il- ().OcZ CC 0•c <br /> am <br /> Result: IXPass LI Fail Pass [I Fail 0 Pass C Fail 11 Pass E Fail <br /> Is there a sensor in the sump? )I Yes 11 No -'ff-Yes 11 No $Yes [I No ::AYes :1 No <br /> Does the sensor alarm when <br /> either product or water is 11 Yes 0 No )C NA 11 Yes 0 No INA 71 Yes F1 No �NA E Yes LI No XNA <br /> I detected? <br /> Was sensor removed for testing? —VYes CNo [INA Fes []No _ es [ <br /> LINA -]No C9 NA ryes []No �INA <br /> Was sensor properly replaced and ,Yes CNo EINA es 0 No [I NA <br /> verified functional after testing? I I lyes <br /> L No CI NA )g4"s ENo CNA <br /> -Comments—(include information on repairs made prior to tesy & and recommendedfollow-upforfailed tests) <br /> Costco #E358 <br /> 3250 Grantline & Hwy 205 <br /> Tracy, CA 95377 <br />